Boaten, Afua Sarpon
Boaten, Afua Sarpon is an individual health care provider with primary practice located at 1046 Ridge Ave Sw Southside Medical Center, Atlanta GA 30315-1640. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Boaten, Afua Sarpon can be contacted via phone (404) 688-1350.Contact Information
Primary practice address
1046 Ridge Ave Sw Southside Medical Center
Atlanta GA 30315-1640
Phone: (404) 688-1350
Fax: (404) 801-3959
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 47166 | Tennessee |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 54207 | Georgia |
Profile Details
| NPI number | 1972597656 |
|---|---|
| LBN Legal business name | Boaten, Afua Sarpon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 8th, 2005 |
| Last updated | Feb 19th, 2015 - about 11 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 | 1972597656 | NPPES |
| Georgia | Other | 202I080456 | MEDICARE PTAN |
| Georgia | MEDICAID | 403610618A,B | MEDICARE PTAN |
| Georgia | MEDICAID | 403610618 | MEDICARE PTAN |
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