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NPI Code Detail

MEDICARE: MRS. PHILOMINA AKYEA - MENSAH

MEDICARE: MRS. PHILOMINA AKYEA - MENSAH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1163W00000XRegistered Nurse243284GA

General Provider Information

NPI Number : 1770348005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. PHILOMINA AKYEA - MENSAH
Provider Business Mailing Address
First Line : 2289 ARLINGTON WALK LN
Second Line :
City : GRAYSON
State : GA
Zip : 30017-7890
Country : US
Telephone Number : 770-906-7656
Fax Number :
Provider Business Practice Location Address
First Line : 709 BREEDLOVE DR
Second Line :
City : MONROE
State : GA
Zip : 30655-2055
Country : US
Telephone Number : 770-906-7656
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/15/2024
Last Update Date : 02/15/2024

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