| Mr Olufemi Olawale Fanusi, | |
|
4202 Kensington Cir, Stonecrest, GA 30038-3239 | |
| (678) 680-9209 | |
| Not Available |
| Full Name | Mr Olufemi Olawale Fanusi |
|---|---|
| Gender | Male |
| Speciality | Nurse Practitioner |
| Experience | 5 Years |
| Location | 4202 Kensington Cir, Stonecrest, Georgia |
| Accepts Medicare Assignments | May be. He may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003561705 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 363LF0000X | Nurse Practitioner - Family | RN285470 (Georgia) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Pruitthealth Hospice Inc | 2264344217 | 39 |
| Entity Name | Resurgia Health Solutions Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1851702153 PECOS PAC ID: 2668699760 Enrollment ID: O20140813002730 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Olufemi Olawale Fanusi, 4202 Kensington Cir, Stonecrest, GA 30038-3239 Ph: (678) 680-9209 | Mr Olufemi Olawale Fanusi, 4202 Kensington Cir, Stonecrest, GA 30038-3239 Ph: (678) 680-9209 |
Celeste Diamond Bryan, APRN Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3506 Lakeview Crk, Stonecrest, GA 30038 Phone: 828-773-0458 Fax: 828-773-0458 | |
Mrs. Colette Hemmings, DNP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 7607 Shady Maple Way, Stonecrest, GA 30038 Phone: 470-564-8483 | |
Chinyeaka Linda Ogbonna, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 3682 Pebble Street, Stonecrest, GA 30038 Phone: 404-384-3044 | |
Mercy Oyerinde, NP Nurse Practitioner Medicare: Medicare Enrolled Practice Location: 8170 Mall Pkwy # 1362, Stonecrest, GA 30038 Phone: 678-761-5287 | |
Chijiamara Kalu, Nurse Practitioner Medicare: Not Enrolled in Medicare Practice Location: 6094 Lakeview Overlook, Stonecrest, GA 30038 Phone: 678-779-1594 | |
Antonio Jahron Saunders, Nurse Practitioner Medicare: Accepting Medicare Assignments Practice Location: 2801 Dekalb Medical Pkwy, Stonecrest, GA 30058 Phone: 404-501-8000 |