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:
Health care specialties
Specialty | Code | License # | 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 18 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 | 1144373267 | NPPES |
Georgia | MEDICAID | 00662494B |
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