Provider Demographics
NPI:1598943516
Name:KWARTENG, COLLINS A (MD)
Entity Type:Individual
Prefix:DR
First Name:COLLINS
Middle Name:A
Last Name:KWARTENG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:206 HOSPITAL DR STE A
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:GA
Mailing Address - Zip Code:31021-2560
Mailing Address - Country:US
Mailing Address - Phone:478-272-3525
Mailing Address - Fax:478-272-3589
Practice Address - Street 1:207 FAIRVIEW PARK DR STE A
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:GA
Practice Address - Zip Code:31021-2550
Practice Address - Country:US
Practice Address - Phone:478-353-1970
Practice Address - Fax:478-353-1973
Is Sole Proprietor?:No
Enumeration Date:2008-01-31
Last Update Date:2022-02-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
GA75378207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA003175698BMedicaid