Individual
ANNA BANNI FOFUNG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
12875 MORNINGPARK CIR, ALPHARETTA, GA 30004-7329
(678) 943-7371
Mailing address
12875 MORNINGPARK CIR, ALPHARETTA, GA 30004-7329
(678) 943-7371
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
AP139796
TX
363LF0000X
Family Nurse Practitioner
Primary
RN216436
GA
Other
Enumeration date
09/11/2018
Last updated
05/16/2024
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