Individual
DR. FELICITY ARABA QUANSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1870 HARDEMAN AVE, MACON, GA 31201-1161
(478) 743-2000
(478) 743-0096
Mailing address
1870 HARDEMAN AVE, MACON, GA 31201-1161
(478) 743-2000
(478) 743-0096
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
028061
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003774426B
—
GA
01
—
028061
MEDICAL LICENSE NUMBER
GA
01
—
1336277151
GROUP NPI
GA
01
—
180038596
RR MEDICARE
GA
01
—
GRP6512
MEDICARE GROUP PIN
GA
05
—
REF000035775
—
GA
Enumeration date
03/01/2007
Last updated
03/07/2023
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