Individual
MR. MICHAEL KWAKU AGYEMANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
4201 RUTHERFORD GLEN CIR, ATLANTA, GA 30340-3887
(614) 561-6244
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT005890
GA
Other
Enumeration date
08/07/2016
Last updated
08/07/2016
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