Provider Demographics
NPI:1811434210
Name:SWIFT HEALTH MEDICAL GROUP
Entity type:Organization
Organization Name:SWIFT HEALTH MEDICAL GROUP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:FELIX
Authorized Official - Middle Name:I
Authorized Official - Last Name:AMOA-BONSU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-824-4343
Mailing Address - Street 1:5185 OLD NATIONAL HWY STE 200
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:GA
Mailing Address - Zip Code:30349-3244
Mailing Address - Country:US
Mailing Address - Phone:404-763-9300
Mailing Address - Fax:
Practice Address - Street 1:6053 JONESBORO RD
Practice Address - Street 2:
Practice Address - City:MORROW
Practice Address - State:GA
Practice Address - Zip Code:30260-1106
Practice Address - Country:US
Practice Address - Phone:770-824-4343
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-23
Last Update Date:2022-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA66254173000000X
261QU0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care
No173000000XOther Service ProvidersLegal MedicineGroup - Single Specialty