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Organization

HEALTHY MINDS AND WELLNESS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
OMAR KEVIN FULLER NP (OWNER)
(973) 572-8260
Entity
Organization

Contact information

Practice address
2330 SCENIC HWY S STE 610, SNELLVILLE, GA 30078-3115
(770) 810-5836
Mailing address
2330 SCENIC HWY S STE 610, SNELLVILLE, GA 30078-3115

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary

Other

Enumeration date
01/08/2025
Last updated
01/08/2025
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