Individual
MR. COLLINS FOKUM FOMUNUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
1130 SAM NEWELL RD, MATTHEWS, NC 28105-5039
(704) 900-7761
(833) 948-3597
Mailing address
1130 SAM NEWELL RD, MATTHEWS, NC 28105-5039
(704) 900-7761
(833) 948-3597
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
5007564
NC
363LF0000X
Family Nurse Practitioner
Primary
F0215602
NC
Other
Enumeration date
04/10/2015
Last updated
03/05/2026
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