Peterson, Oyinlola Abisola
Peterson, Oyinlola Abisola is an sole proprietor health care provider with primary practice located at 11 Upper Riverdale Rd , Riverdale GA 30274. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Peterson, Oyinlola Abisola can be contacted via phone (770) 991-8199.Contact Information
Primary practice address
11 Upper Riverdale Rd
Riverdale GA 30274
Phone: (770) 991-8199
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 7539 | Georgia |
Profile Details
| NPI number | 1598151037 |
|---|---|
| LBN Legal business name | Peterson, Oyinlola Abisola |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 10th, 2015 |
| Last updated | Apr 10th, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1598151037 | NPPES |
| Georgia | MEDICAID | 003159740A |
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