Individual
LAWRENCE UKPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1 SWEET BAY CT, MOULTRIE, GA 31768-6756
(229) 891-9087
Mailing address
1 SWEET BAY CT, MOULTRIE, GA 31768-6756
(229) 891-9087
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
071293
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003143092A
—
GA
01
—
202I064468
MEDICARE PTAN
GA
Enumeration date
05/21/2008
Last updated
04/04/2023
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us