Provider Demographics
NPI:1295154573
Name:ADOMAKO, CHRISTABEL SARFO (NURSE PRACTITIONER)
Entity type:Individual
Prefix:MRS
First Name:CHRISTABEL
Middle Name:SARFO
Last Name:ADOMAKO
Suffix:
Gender:
Credentials:NURSE PRACTITIONER
Other - Prefix:MRS
Other - First Name:CHRISTABEL
Other - Middle Name:SARFO
Other - Last Name:MILNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2727 CAPTAIN CT
Mailing Address - Street 2:
Mailing Address - City:DACULA
Mailing Address - State:GA
Mailing Address - Zip Code:30019-7840
Mailing Address - Country:US
Mailing Address - Phone:513-291-2099
Mailing Address - Fax:
Practice Address - Street 1:2727 CAPTAIN CT
Practice Address - Street 2:
Practice Address - City:DACULA
Practice Address - State:GA
Practice Address - Zip Code:30019-7840
Practice Address - Country:US
Practice Address - Phone:513-291-2099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-15
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA2024001478363LP0808X
GA2020045457363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health