person
Mr. Michael Kel Fuller SR., RN
Psychiatric/Mental Health Registered Nurse in Lawrenceville, Georgia
NPI 1366782005

Michael Kel Fuller SR. is a Psychiatric/Mental Health Registered Nurse based in Flowery Branch, GA and is specialized in Psychiatric/Mental Health. Michael Kel Fuller SR. practices in Lawrenceville, GA and has the professional credentials of RN. The NPI Number for Michael Kel Fuller SR. is 1366782005 and holds a License No. RN210405 (Georgia).

The current practice location address for Michael Kel Fuller SR. is 175 Gwinnett Dr, Lawrenceville, GA and can be reached out via phone at 678-209-2394 and via fax at 678-212-6350. You can also correspond with Michael Kel Fuller SR. through the mailing address at 7642 LEGACY RD, FLOWERY BRANCH, GA - 30542-7587 (mailing address contact number: 678-656-3075).

Location: 175 Gwinnett Dr, Lawrenceville, GA, 30542-7587
person
Provider Profile Details
NPI Number
1366782005
Provider Name
Michael Kel Fuller SR.
Credential
RN
Provider Entity Type
Individual
Gender
Male
Address
175 Gwinnett Dr, Lawrenceville, GA, 30542-7587
Phone Number
678-209-2394
Fax Number
678-212-6350
Provider Enumeration Date
02/17/2013
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
175 Gwinnett Dr
City
State
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
678-212-6350
person
Provider Business Mailing Address Details
Address
175 Gwinnett Dr
City
State
Zip
30046-8444
Phone Number
678-209-2394
Fax Number
678-212-6350
person
Provider's Taxonomy Details 1
Type
Nursing Service Providers
Classification
Registered Nurse
Speciality
Psychiatric/Mental Health
Taxonomy
License No.
RN210405 (Georgia)
Definition
Definition to come...
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