Fornah, Alfred

Fornah, Alfred is an individual health care provider with primary practice located at 2727 Paces Ferry Rd Se Ste 750 , Atlanta GA 30339-4053. He recently has only one registered license in Nursing Service Related Providers / Home Health Aide, which is considered as his primary health care specialty. Fornah, Alfred can be contacted via phone (770) 694-1777.

Contact Information

Primary practice address
2727 Paces Ferry Rd Se Ste 750 Atlanta GA 30339-4053
Phone: (770) 694-1777
Fax: (678) 981-4601
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Home Health Aide 374U00000X 033-R-2053 Georgia

Profile Details

NPI number 1932677812
LBN Legal business name Fornah, Alfred
Credentials CSCM
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 8th, 2018
Last updated Nov 8th, 2018 - about 8 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 1932677812 NPPES
Georgia MEDICAID 82-4816080

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