Provider Demographics
NPI:1265878268
Name:FRENCH, ERNESTINA NYARKO (MD)
Entity type:Individual
Prefix:DR
First Name:ERNESTINA
Middle Name:NYARKO
Last Name:FRENCH
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:ERNESTINA
Other - Middle Name:
Other - Last Name:NYARKO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:2800 BUFORD DR STE 110
Mailing Address - Street 2:
Mailing Address - City:BUFORD
Mailing Address - State:GA
Mailing Address - Zip Code:30519-5107
Mailing Address - Country:US
Mailing Address - Phone:470-236-4085
Mailing Address - Fax:470-323-9177
Practice Address - Street 1:2800 BUFORD DR STE 110
Practice Address - Street 2:
Practice Address - City:BUFORD
Practice Address - State:GA
Practice Address - Zip Code:30519-5107
Practice Address - Country:US
Practice Address - Phone:470-236-4085
Practice Address - Fax:470-323-9177
Is Sole Proprietor?:No
Enumeration Date:2013-05-16
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC40093207Q00000X
NC192083207Q00000X
GA93816207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SC40093OtherSTATE MEDICAL BOARD
NC192083OtherRTL - RESIDENT TRAINING LICENSE
GA93816OtherSTATE MEDICAL BOARD