Individual
KWAME N DOH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM, MS
Contact information
Practice address
1805 VERNON RD, LAGRANGE, GA 30240-3871
(706) 884-2691
Mailing address
1805 VERNON RD, LAGRANGE, GA 30240-3871
(706) 884-2691
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
36004118
OH
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD001503
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36004118
STATE LICENSE
OH
01
—
POD001503
LICENCE NUMBER
GA
Enumeration date
02/02/2015
Last updated
02/22/2025
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