Provider / Organization | NPI | Date Certified |
---|---|---|
KWAME N DOH | 1104216803 | 2023-01-21 |
Kwame N Doh is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1104216803. Registration indicates Kwame N Doh is a provider of services with a specialization in Pharmacy Service Providers, Pharmacy Technician (Pharmacy Technician, ) (Pharmacy Technician, Pharmacy Service Providers) (Foot & Ankle Surgery (Podiatrist),, ) (Podiatric Medicine & Surgery Service Providers, Podiatrist) (Podiatrist: Foot & Ankle Surgery, ) (Podiatry, ) (Podiatrist Foot & Ankle Surgery, Podiatric Medicine & Surgery Service Providers) (Podiatrist, )
Entity Type | Individual |
Provider Name | Kwame N Doh DPM, MS |
Practice Office Address | 2701 N DECATUR RD DECATUR, GA US |
Practice Office Telephone | 2027028139 |
Mailing Address | 2701 N DECATUR RD DECATUR, GA 300335918 US |
Business Telephone | 4045012499 |
Address | City / State | Phone / Fax |
---|---|---|
2801 Dekalb Medical Pkwy | Lithonia, GA 300584996 | 4045012499 |
Code | Practice | License No State |
---|---|---|
183700000X | Pharmacy Service Providers Pharmacy Technician Pharmacy Technician Pharmacy Technician Pharmacy Service Providers | T08487
MD |
213ES0103X PRIMARY | Foot & Ankle Surgery (Podiatrist), Podiatric Medicine & Surgery Service Providers Podiatrist Podiatrist: Foot & Ankle Surgery Podiatry Podiatrist Foot & Ankle Surgery Podiatric Medicine & Surgery Service Providers Podiatrist | POD001503
GA |
POD001503 | OTHER | GA | LICENCE NUMBER |