Provider Demographics
NPI:1609347798
Name:AWUAH, JAMES (PA-C, MPH)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:AWUAH
Suffix:
Gender:M
Credentials:PA-C, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:102 MAJOR ALLEN ST
Mailing Address - Street 2:
Mailing Address - City:MARTIN
Mailing Address - State:SD
Mailing Address - Zip Code:57551-6005
Mailing Address - Country:US
Mailing Address - Phone:605-685-1660
Mailing Address - Fax:605-685-1665
Practice Address - Street 1:102 MAJOR ALLEN ST
Practice Address - Street 2:
Practice Address - City:MARTIN
Practice Address - State:SD
Practice Address - Zip Code:57551-6005
Practice Address - Country:US
Practice Address - Phone:605-685-1660
Practice Address - Fax:605-685-1665
Is Sole Proprietor?:No
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical