Individual
DR. AFUA SARPON BOATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1046 RIDGE AVE SW, SOUTHSIDE MEDICAL CENTER, ATLANTA, GA 30315-1640
(404) 688-1350
(404) 801-3959
Mailing address
1046 RIDGE AVE SW, SOUTHSIDE MEDICAL CENTER, ATLANTA, GA 30315-1640
(404) 688-1350
(404) 801-3959
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
47166
TN
207Q00000X
Family Medicine Physician
Primary
54207
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202I080456
MEDICARE PTAN
GA
05
—
403610618
—
GA
05
—
403610618A,B
—
GA
Enumeration date
09/08/2005
Last updated
02/19/2015
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