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Search › Georgia › Psychiatric/Mental Health Nurse Practitioner

Maxine Fomunung

NPI 1225802168 · on the registry since 2023 · sole proprietor

Practice

Address
409 Old Boring Ln
Woodstock, GA 30189
Phone
(470) 461-3426
Fax
(770) 928-7558
Organisation at this address
Cherokee Center For Change, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
17

Registry record

Primary taxonomy
Psychiatric/Mental Health Nurse Practitioner
363LP0808X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2025-03-18

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia