OMAR KEVIN FULLER

LOGANVILLE, GA
NPI1932833050
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: GA  RN264780)
Enumeration Date2022-07-14
Last Update Date2022-07-14
Business Address
OMAR KEVIN FULLER
487 THOMAS DR
LOGANVILLE, GA 30052-7262
Phone number: 973-572-8260
Mailing Address
OMAR KEVIN FULLER
487 THOMAS DR
LOGANVILLE, GA 30052-7262
Phone number: 973-572-8260
Similar providers in Loganville, GA
XALA X YANG
TARA PHELPS GULSBY
DANIELA HAZELWOOD
MARY-THERESIA KEMNI WALLANG-NWAHA
SUSAN VARGHESE
KAYLOR L HOWARD
LORI G ROBERTS
KRISTEN PEEK
TOTAL CARE BEHAVIORAL SERVICES
ROSEYLEE KURIAKOSE