Individual
DR. EUNICE A AMPIAW
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
860 BROOKSTONE CENTRE PKWY, COLUMBUS, GA 31904-9270
(706) 507-5320
(706) 507-4741
Mailing address
PO BOX 9247, COLUMBUS, GA 31908-9247
(706) 322-7884
(706) 660-2118
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
048751
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000876631F
—
GA
01
—
20208I1191
MEDICARE PTAN
GA
01
—
P01367069
RAILROAD MEDICARE
GA
Enumeration date
10/04/2005
Last updated
01/23/2023
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