Search › Georgia › 363LG0600X
Olubusola Gandonu, AGNP-C
NPI 1982339719 · on the registry since 2022
Practice
- Address
- 5245 Buford Hwy
Peachtree Corners, GA 30071 - Phone
- (678) 445-5995
- Fax
- (844) 270-4279
- Clinicians at this address
- 2
Registry record
- Primary taxonomy
- 363LG0600X
363LG0600X
- Also registered as
- 163W00000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2022-07-16
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia