Individual
SYLVANUS KWAME FIAKPORNOO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
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
50078
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
060453
STATE LICENSE
GA
01
—
29365
STATE
AL
01
—
32521
STATE
SC
01
—
50078
WI STATE LICENSE
WI
Enumeration date
07/19/2007
Last updated
03/07/2023
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