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Organization

NEIGHBORHOOD HEALTHCARE PROVIDERS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AKWASI A AMPONSAH MD (CEO)
(601) 582-5805
Entity
Organization

Contact information

Practice address
2503 GLENDALE AVE, HATTIESBURG, MS 39401-1073
(601) 582-5805
(601) 582-5806
Mailing address
PO BOX 15613, HATTIESBURG, MS 39404-5613
(601) 582-5805
(601) 582-5806

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
14600
MS
207R00000X
Internal Medicine Physician
Primary
17488
MS
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
14600
MS
207UN0901X
Nuclear Cardiology Physician
14600
MS
2083P0901X
Public Health & General Preventive Medicine Physician
17488
MS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00125127
MS
Enumeration date
05/19/2006
Last updated
08/14/2013
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