Organization
PARKWAY MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AKWASI A AMPONSAH MD (CEO/ MEDICAL DIRECTOR)
(601) 582-5805
Entity
Organization
Contact information
Practice address
2503 GLENDALE AVE, HATTIESBURG, MS 39401-1073
(601) 582-5805
(601) 582-5806
Mailing address
2503 GLENDALE AVE, HATTIESBURG, MS 39401-1073
(601) 582-5805
(601) 582-5806
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
17488
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00125127
—
MS
Enumeration date
08/20/2008
Last updated
08/22/2008
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