Individual
MR. JOSEPH NYANKUM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1805 PARKE PLAZA CIR STE 101, STONE MOUNTAIN, GA 30087-3646
(770) 469-7000
Mailing address
1805 PARKE PLAZA CIR STE 101, STONE MOUNTAIN, GA 30087-3646
(770) 469-7000
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9556
GA
363AM0700X
Medical Physician Assistant
9556
GA
Other
Enumeration date
02/29/2020
Last updated
03/26/2021
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