Provider Demographics
NPI:1760667430
Name:SINTIM-AMOAH, DI'NET H (MD)
Entity Type:Individual
Prefix:DR
First Name:DI'NET
Middle Name:H
Last Name:SINTIM-AMOAH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:DI'NET
Other - Middle Name:
Other - Last Name:HARDMON SINTIM-AMOAH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 3799
Mailing Address - Street 2:
Mailing Address - City:CLARKSVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37043-3799
Mailing Address - Country:US
Mailing Address - Phone:931-245-7092
Mailing Address - Fax:931-245-7069
Practice Address - Street 1:490 DUNLOP LN
Practice Address - Street 2:
Practice Address - City:CLARKSVILLE
Practice Address - State:TN
Practice Address - Zip Code:37040
Practice Address - Country:US
Practice Address - Phone:931-245-8400
Practice Address - Fax:931-245-8465
Is Sole Proprietor?:No
Enumeration Date:2007-12-31
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA00086208000000X
TN49021208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN1528589Medicaid
GA498200793BMedicaid
TN103I371860Medicare PIN