Agyepong, Dorothy Dee

Agyepong, Dorothy Dee is an individual health care provider with primary practice located at 39 Kent Rd Ste 5 , Tifton GA 31794-1697. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Agyepong, Dorothy Dee can be contacted via phone (229) 353-7337.

Contact Information

Primary practice address
39 Kent Rd Ste 5 Tifton GA 31794-1697
Phone: (229) 353-7337
Fax: (229) 391-4051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN109364 Georgia

Profile Details

NPI number 1821214909
LBN Legal business name Agyepong, Dorothy Dee
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2007
Last updated Dec 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1821214909 NPPES
Georgia MEDICAID 000928826F

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