Organization · Type 2 NPI

Shittu Family Practice LLC

Family Nurse Practitioner · Fayetteville, GA

NPI number 1194331439 Active

Practice location

213 Banks Rd
Fayetteville, GA 30214

Call (770) 629-1917 Map

Mailing address

213 Banks Sta
Fayetteville, GA 30214-7505

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician 207Q00000XNone listed
Clinic/Center 261Q00000XNone listed
Family Nurse Practitioner Primary 363LF0000XNone listed

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About NPI 1194331439

Shittu Family Practice LLC's National Provider Identifier is 1194331439, issued on Sep 22, 2020. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Fayetteville, GA. The record was last updated on Oct 26, 2026.