Individual
DR. KWAME AMPONSAH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
840 PINE ST, SUITE 880, MACON, GA 31201-2100
(478) 743-7092
(478) 743-7320
Mailing address
840 PINE ST, SUITE 880, MACON, GA 31201-2100
(478) 743-7092
(478) 743-7320
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
067384
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0003124695C
—
GA
Enumeration date
02/18/2008
Last updated
08/29/2013
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