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OMONIYI FATAI MUTIU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PMHNP

Contact information

Practice address
2055 SUGARLOAF CIR STE 575, DULUTH, GA 30097-9804
(404) 999-7971
Mailing address
2055 SUGARLOAF CIR STE 575, DULUTH, GA 30097-9804
(404) 999-7971
(678) 534-2045

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN286020
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
APRN-NP286020
GA

Other

Enumeration date
03/06/2018
Last updated
10/23/2025
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