Provider Demographics
NPI:1053749796
Name:SALAWU, KAFILAT OLAJMOKE (NP-C)
Entity type:Individual
Prefix:MRS
First Name:KAFILAT
Middle Name:OLAJMOKE
Last Name:SALAWU
Suffix:
Gender:F
Credentials:NP-C
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Other - Credentials:
Mailing Address - Street 1:1835 SAVOY DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30341-1072
Mailing Address - Country:US
Mailing Address - Phone:678-566-6995
Mailing Address - Fax:678-566-0346
Practice Address - Street 1:3330 PRESTON RIDGE RD
Practice Address - Street 2:SUITE 110
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30005-4508
Practice Address - Country:US
Practice Address - Phone:678-566-6995
Practice Address - Fax:678-566-0346
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2020-08-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GARN210374363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003114186CMedicaid
GA003114186BMedicaid
GA202I507385OtherMEDICARE PTAN