Individual
KWABENA ASAFO-AGYEI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1453 E BERT KOUNS INDUSTRIAL LOOP, SHREVEPORT, LA 71105-6800
(318) 681-4500
Mailing address
120 BRENTWOOD COMMONS WAY STE 510, BRENTWOOD, TN 37027-2028
(615) 371-4442
(615) 810-8952
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
310904
LA
207R00000X
Internal Medicine Physician
310904
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/21/2015
Last updated
12/06/2022
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