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Dr. Modupe Agbeyomi, DNP,FNP-C
Family Nurse Practitioner in Brookhaven, Georgia
NPI 1245715903

Modupe Agbeyomi is a Family Nurse Practitioner based in Brookhaven, GA and is specialized in Family. Modupe Agbeyomi practices in Brookhaven, GA and has the professional credentials of DNP,FNP-C. The NPI Number for Modupe Agbeyomi is 1245715903 and holds a License No. (Georgia).

The current practice location address for Modupe Agbeyomi is 13 Corporate Blvd Ne Ste 200, Brookhaven, GA and can be reached out via phone at 770-557-1079 and via fax at 770-872-6621.

Location: 13 Corporate Blvd Ne Ste 200, Brookhaven, GA, 30329-1900
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1245715903
Provider Name
Modupe Agbeyomi
Credential
DNP,FNP-C
Provider Entity Type
Individual
Gender
Female
Address
13 Corporate Blvd Ne Ste 200, Brookhaven, GA, 30329-1900
Phone Number
770-557-1079
Fax Number
770-872-6621
Provider Enumeration Date
09/28/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
F09180151 05 GA
institution
Provider Business Practice Location Address Details
Address
13 Corporate Blvd Ne Ste 200
City
Brookhaven
State
Georgia
Zip
30329-1900
Phone Number
770-557-1079
Fax Number
770-872-6621
person
Provider Business Mailing Address Details
Address
13 Corporate Blvd Ne Ste 200
City
Brookhaven
State
Georgia
Zip
30329-1900
Phone Number
770-557-1079
Fax Number
770-872-6621
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Infusion
Speciality
-
Taxonomy
251F00000X
License No.
F09180151 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Infusion Therapy
Taxonomy
261QI0500X
License No.
F09180151 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Migrant Health
Taxonomy
261QM1000X
License No.
F09180151 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 4
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Family
Taxonomy
363LF0000X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 5
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
Primary Care
Taxonomy
363LP2300X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 6
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Nurse Practitioner
Speciality
School
Taxonomy
363LS0200X
License No.
()
Definition
Definition to come...
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