Provider Demographics
NPI:1508882192
Name:AGYEI-GYAMFI, FRANCES THERESA (MD)
Entity Type:Individual
Prefix:
First Name:FRANCES
Middle Name:THERESA
Last Name:AGYEI-GYAMFI
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2914 N ELM ST
Mailing Address - Street 2:P.M.B. #130
Mailing Address - City:LUMBERTON
Mailing Address - State:NC
Mailing Address - Zip Code:28358-2981
Mailing Address - Country:US
Mailing Address - Phone:910-739-5197
Mailing Address - Fax:910-739-5294
Practice Address - Street 1:4348 FAYETTEVILLE RD
Practice Address - Street 2:
Practice Address - City:LUMBERTON
Practice Address - State:NC
Practice Address - Zip Code:28358-2677
Practice Address - Country:US
Practice Address - Phone:910-739-5197
Practice Address - Fax:910-739-5294
Is Sole Proprietor?:No
Enumeration Date:2006-07-15
Last Update Date:2013-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35084626207RI0200X
NC2011-01204207R00000X, 207RI0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCA419OtherMEDICARE PTAN (GRP)
NC2011-01204OtherNORTH CAROLINA MEDICAL BOARD
NCNC4341A419OtherMEDICARE PTAN
NC2011-01204OtherNORTH CAROLINA MEDICAL BOARD