Organization
COBBWEST INTERNAL MEDICINE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SYLVANUS KWAME FIAKPORNOO M.D (MEMBER)
(925) 389-7243
Entity
Organization
Contact information
Practice address
2713 CHARLES HARDY PKWY, STE 223, DALLAS, GA 30157-9470
(678) 324-7021
Mailing address
2713 CHARLES HARDY PKWY, STE 223, DALLAS, GA 30157-9470
(678) 324-7021
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
02/26/2013
Last updated
05/06/2013
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