MR. Olufemi Olawale Fanusi
NPI #1003561705 in Stonecrest, Georgia
Provider Information
- NPI Number
- 1003561705
- Entity Type
- Individual
- Name
- MR. Olufemi Olawale Fanusi
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Feb 21, 2022
- Last Updated
- Feb 21, 2022
Practice Location
- Address
- 4202 KENSINGTON CIR
- City
- Stonecrest
- State
- Georgia
- ZIP Code
- 30038-3239
- Phone
- (678) 680-9209
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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