Individual
DR. SAMUEL N. OFORI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2501 N PATTERSON ST, SOUTH GEORGIA MEDICAL CENTER, VALDOSTA, GA 31602-1735
(229) 259-4689
(229) 259-4601
Mailing address
PO BOX 70, VALDOSTA, GA 31603-0070
(229) 259-4938
(229) 259-4925
Taxonomy
Speciality
Code
Description
License number
State
207RH0000X
Hematology (Internal Medicine) Physician
060777
GA
207RH0003X
Hematology & Oncology Physician
060777
GA
207RX0202X
Medical Oncology Physician
Primary
060777
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
36111649
LICENSE
IL
Enumeration date
07/12/2006
Last updated
06/11/2009
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