Individual
ENOCH AGYEMANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
146 SHORT BRANCH RD, STAFFORD, VA 22556-4642
(678) 651-9336
Mailing address
146 SHORT BRANCH RD, STAFFORD, VA 22556-4642
(678) 651-9336
Taxonomy
Speciality
Code
Description
License number
State
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
Primary
A673299991
VA
Other
Enumeration date
01/21/2020
Last updated
01/21/2020
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