Individual
ABENA KORAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
6095 PROFESSIONAL PKWY STE 100, DOUGLASVILLE, GA 30134-5607
(770) 920-2255
(770) 920-9963
Mailing address
805 SANDY PLAINS ROAD, MEDICAL STAFF SERVICES, MARIETTA, GA 30066-6340
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
78530
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/27/2014
Last updated
11/21/2019
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