Provider Demographics
NPI:1598212847
Name:ACHEAMPONG, AFUA BOATEMAA (PA-C)
Entity Type:Individual
Prefix:
First Name:AFUA
Middle Name:BOATEMAA
Last Name:ACHEAMPONG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:AFUA
Other - Middle Name:
Other - Last Name:BOATEMAA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:PO BOX 60447
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28260-0447
Mailing Address - Country:US
Mailing Address - Phone:704-316-2050
Mailing Address - Fax:704-316-2051
Practice Address - Street 1:6909 PROSPERITY CHURCH RD
Practice Address - Street 2:
Practice Address - City:HUNTERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28078-6698
Practice Address - Country:US
Practice Address - Phone:704-316-2050
Practice Address - Fax:704-316-2051
Is Sole Proprietor?:No
Enumeration Date:2016-09-03
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC001006467363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant