Individual
DR. AMA AMOFAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
3401 W GORE BLVD, LAWTON, OK 73505-6332
(580) 355-8699
Mailing address
101 WOODRUFF CIRCLE 1ST FLOOR, ATLANTA, GA 30322-0001
(404) 778-5495
(404) 778-5495
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
5691
OK
207Q00000X
Family Medicine Physician
70657
GA
208M00000X
Hospitalist Physician
5691
OK
208M00000X
Hospitalist Physician
Primary
70657
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200591540A
—
OK
01
—
429344YMXA
MEDICARE PTAN
OK
Enumeration date
08/27/2010
Last updated
04/19/2024
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