| Doctor Name: | KUDIRAT MUMUNEY |
| NPI Number: | 1093708869 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | N.P. |
| License Number: | RN146636 |
| Business Practice Address: | 315 S 9th St Griffin, GA - 302244111 |
| Business Phone Number: | 7702293048 |
| Business Fax Number: | |
| Mailing Address: | 124 Mcelroy Rd, FAYETTEVILLE |
| State: | GA |
| Postal Code: | 302144317 |
| Phone Number: | 6788170688 |
| Fax Number: | |
| NPI Enumeration Date: | 08/26/2005 |
| NPI Last Update Date: | 12/17/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN146636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |