Amporful, Sam G
Amporful, Sam G is an sole proprietor health care provider with primary practice located at 721 Riverside Drive Lane , Macon GA 31201-2658. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Hospitalist, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Amporful, Sam G can be contacted via phone (478) 259-3439.Contact Information
Primary practice address
721 Riverside Drive Lane
Macon GA 31201-2658
Phone: (478) 259-3439
Fax: (478) 254-2733
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 030940 | Georgia |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 030940 | Georgia |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 030940 | Georgia |
Profile Details
| NPI number | 1013924695 |
|---|---|
| LBN Legal business name | Amporful, Sam G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | May 24th, 2021 - about 3 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1013924695 | NPPES |
| Georgia | MEDICAID | 000380619O | |
| Georgia | Other | 202I083236 | |
| Georgia | MEDICAID | 0000380619I | |
| Georgia | MEDICAID | 000380619P | |
| Georgia | MEDICAID | GA1103 |
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