Oteng Gyang, Kofi

Oteng Gyang, Kofi is an individual health care provider with primary practice located at 1525 E Park Place Blvd #1100,, Stone Mountain GA 30087-3453. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Oteng Gyang, Kofi can be contacted via phone (770) 498-3434.

Contact Information

Primary practice address
1525 E Park Place Blvd #1100, Stone Mountain GA 30087-3453
Phone: (770) 498-3434
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPT1481 Georgia

Profile Details

NPI number 1144373267
LBN Legal business name Oteng Gyang, Kofi
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 19th, 2007
Last updated Jul 8th, 2007 - about 17 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 1144373267 NPPES
Georgia MEDICAID 00662494B

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