| Mr Michael Kel Fuller Sr, RN | |
|
175 Gwinnett Dr, Lawrenceville, GA 30046-8444 | |
| (678) 209-2394 | |
| (678) 212-6350 |
| Full Name | Mr Michael Kel Fuller Sr |
|---|---|
| Gender | Male |
| Speciality | Registered Nurse - Psychiatric/mental Health |
| Location | 175 Gwinnett Dr, Lawrenceville, Georgia |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366782005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | RN210405 (Georgia) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael Kel Fuller Sr, RN 7642 Legacy Rd, Flowery Branch, GA 30542-7587 Ph: (678) 656-3075 | Mr Michael Kel Fuller Sr, RN 175 Gwinnett Dr, Lawrenceville, GA 30046-8444 Ph: (678) 209-2394 |
Barbara O'callaghan, RN, NP Registered Nurse Medicare: Accepting Medicare Assignments Practice Location: 631 Professional Drive, 450, Lawrenceville, GA 30046 Phone: 770-963-8030 Fax: 770-339-9577 | |
Glory Osadiaye, PMHNP, MSN, BSN, RN Registered Nurse Medicare: Medicare Enrolled Practice Location: 250 Constitution Blvd, Lawrenceville, GA 30046 Phone: 470-844-0157 Fax: 678-539-8899 | |
Harriet Adigwu, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394 | |
Mrs. Latrina Graham, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 678-209-2394 | |
Abidemi Macgregor, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 762 Lynnfield Dr, Lawrenceville, GA 30045 Phone: 678-727-6192 | |
Mr. Jahid Kwaku Ross, NURSE PRACTITIONER Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 175 Gwinnett Dr, Lawrenceville, GA 30046 Phone: 404-209-2394 | |
Lauren Kae Brooks, CNP Registered Nurse Medicare: Medicare Enrolled Practice Location: 631 Professional Dr Ste 200, Lawrenceville, GA 30046 Phone: 678-312-3500 Fax: 678-312-3529 |