Healthcare Provider Details

I. General information

NPI: 1912944455
Provider Name (Legal Business Name): FELIX W AMOA-BONSU MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2006
Last Update Date: 03/14/2026
Certification Date: 03/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6053 JONESBORO RD
MORROW GA
30260-1106
US

IV. Provider business mailing address

5185 OLD NATIONAL HWY
COLLEGE PARK GA
30349-3244
US

V. Phone/Fax

Practice location:
  • Phone: 770-824-4343
  • Fax:
Mailing address:
  • Phone: 404-763-9300
  • Fax: 404-763-9306

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number055916
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: