Individual
MS. DOROTHY DEE AGYEPONG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CPNP
Contact information
Practice address
39 KENT RD STE 5, TIFTON, GA 31794-1697
(229) 353-7337
(229) 391-4051
Mailing address
PO BOX 2650, TIFTON, GA 31793-2650
(229) 353-3422
Taxonomy
Speciality
Code
Description
License number
State
363LP0200X
Pediatric Nurse Practitioner
Primary
NP109364
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000928826F
—
GA
Enumeration date
04/17/2007
Last updated
10/09/2025
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