Healthcare Provider Details

I. General information

NPI: 1396060398
Provider Name (Legal Business Name): AFUA ANTWIWAAH CELESTIN DNP, RN, CBS
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2010
Last Update Date: 07/31/2024
Certification Date: 07/25/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 HOSPITAL ROAD FORT EISENHOWER OBGYN
APO AA
30905-0000
US

IV. Provider business mailing address

607 RONALD REAGAN DR UNIT 14
EVANS GA
30809-7701
US

V. Phone/Fax

Practice location:
  • Phone: 706-787-2930
  • Fax: 706-787-0385
Mailing address:
  • Phone: 706-910-0132
  • Fax: 706-910-0148

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WL0100X
TaxonomyLactation Consultant (Registered Nurse)
License NumberRN230384
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code163WW0101X
TaxonomyAmbulatory Women's Health Care Registered Nurse
License NumberRN230384
License Number StateGA
# 3
Primary TaxonomyN
Taxonomy Code163WX0002X
TaxonomyHigh-Risk Obstetric Registered Nurse
License NumberRN230384
License Number StateGA
# 4
Primary TaxonomyY
Taxonomy Code163W00000X
TaxonomyRegistered Nurse
License NumberRN230384
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: