Olivia T Agboola, | |
135 Henry Pkwy, Mcdonough, GA 30253-6636 | |
(770) 288-6155 | |
(770) 954-2269 |
Full Name | Olivia T Agboola |
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Gender | Female |
Speciality | Nurse Practitioner - Family |
Location | 135 Henry Pkwy, Mcdonough, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568022671 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
363LF0000X | Nurse Practitioner - Family | RN209875 (Georgia) | Primary |
Entity Name | Saint Joseph's Mercy Care Services Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1588663421 PECOS PAC ID: 9931191525 Enrollment ID: O20050516000862 |
Mailing Address | Practice Location Address |
---|---|
Olivia T Agboola, 4001 S River Ln, Ellenwood, GA 30294-3293 Ph: (678) 357-6069 | Olivia T Agboola, 135 Henry Pkwy, Mcdonough, GA 30253-6636 Ph: (770) 288-6155 |
Mrs. Brandie Ann Villanova, CPNP-PC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 130 Enterprise Pkwy, Mcdonough, GA 30253 Phone: 678-583-9071 | |
Ms. Rita Raynel Givens, FNP-BC Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 1333 Vine Cir, Mcdonough, GA 30253 Phone: 631-645-2812 | |
Catherine A Nkongho, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 437 Concord Cir, Mcdonough, GA 30253 Phone: 240-491-6813 | |
Joyce Paulette Thompson, FNP-C Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 4324 Gladys Ct, Mcdonough, GA 30252 Phone: 404-643-6597 | |
Mrs. Betty Jean Harris, NP Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 150 Michael Ln, Mcdonough, GA 30252 Phone: 770-401-1901 | |
Emily Il Arthur, RN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 101 Regency Park Dr Ste 140, Mcdonough, GA 30253 Phone: 770-957-8626 Fax: 770-957-7200 | |
Brad Alan Oglesby, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 126 Oakwood Trl, Mcdonough, GA 30252 Phone: 678-591-6798 |