Individual
SERWAH SARPONMA AMPONSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6070 LAKESIDE COMMONS DR, MACON, GA 31210-5778
(478) 254-2644
Mailing address
701 AVENUE ST, MCDONOUGH, GA 30253-7629
(678) 708-8480
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN192949
GA
Other
Enumeration date
03/05/2020
Last updated
03/07/2020
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