Individual
ALIYA POKU AGYEMANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
100 PALMETTO HEALTH PKWY STE G100, COLUMBIA, SC 29212-1754
(803) 907-7850
(803) 296-7061
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 695-6697
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
APN.29301
SC
Other
Enumeration date
09/03/2024
Last updated
11/22/2024
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