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Individual

MS. SANDRA KWARTENG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PHYSICIAN ASSISTANT

Contact information

Practice address
8600 OLD GEORGETOWN RD, BETHESDA, MD 20814-1422
(301) 896-3820
Mailing address
285 BOULEVARD NE STE 415, ATLANTA, GA 30312-4210
(404) 265-4400

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
0142331
NY
363AS0400X
Surgical Physician Assistant
Primary
9613
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C0005665
PHYSICIAN ASSISTANT LICENSE
MD
Enumeration date
10/04/2010
Last updated
05/22/2020
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