Individual
GIFTY NTIAMOAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
1324 ROCKBRIDGE RD, STONE MOUNTAIN, GA 30087-3174
(678) 368-1626
Mailing address
1591 WATER LILY WAY, LAWRENCEVILLE, GA 30045-2348
(678) 368-1626
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN270468
GA
Other
Enumeration date
02/18/2022
Last updated
12/20/2023
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