NPI 1033595566
Omolola Otubaga, NP
Practice location
- Address
- 101 Beckett Ln STE. 304, Fayetteville, GA 30214-7155
- Phone
- (770) 703-4448
- Fax
- (770) 703-4038
- Mailing address
- 5465 Highway 42 246, Ellenwood, GA 30294-3928
Registered specialties
Psychiatric/Mental Health Nurse Practitioner
Primary
Registry record
- NPI
- 1033595566
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 6 Aug 2015
- Record last updated
- 25 Apr 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.