Maxine Fomunung
NPI #1225802168 in Woodstock, Georgia
Provider Information
- NPI Number
- 1225802168
- Entity Type
- Individual
- Name
- Maxine Fomunung
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Psychiatric/Mental Health
- Enumeration Date
- Nov 10, 2023
- Last Updated
- Mar 18, 2025
Practice Location
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Psychiatric/Mental Health — Psychiatric/Mental Health |
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