Organization
LAWRENCE A UKPONG MD PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAWRENCE A UKPONG MD (PRESIDENT)
(229) 891-9087
Entity
Organization
Contact information
Practice address
1 SWEET BAY CT, MOULTRIE, GA 31768-6756
(229) 891-9087
Mailing address
1 SWEET BAY CT, MOULTRIE, GA 31768-6756
(229) 891-9087
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Enumeration date
04/13/2023
Last updated
04/13/2023
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