| Cobbwest Internal Medicine Associates | |
|
2713 Charles Hardy Pkwy Ste 223 Dallas GA 30157-9470 | |
| (678) 324-7021 | |
| Not Available |
| Full Name | Cobbwest Internal Medicine Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 2713 Charles Hardy Pkwy, Dallas, Georgia |
| Authorized Official Name and Position | Sylvanus Kwame Fiakpornoo (MEMBER) |
| Authorized Official Contact | 9253897243 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cobbwest Internal Medicine Associates 2713 Charles Hardy Pkwy Ste 223 Dallas GA 30157-9470 Ph: (678) 324-7021 | Cobbwest Internal Medicine Associates 2713 Charles Hardy Pkwy Ste 223 Dallas GA 30157-9470 Ph: (678) 324-7021 |
| NPI Number | 1215277314 |
|---|---|
| Provider Enumeration Date | 02/26/2013 |
| Last Update Date | 05/06/2013 |
| Medicare PECOS PAC ID | 1951544139 |
|---|---|
| Medicare Enrollment ID | O20130909000337 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215277314 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Cecilia A Nwogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1841359072 PECOS PAC ID: 3971672478 Enrollment ID: I20080617000346 |
| Provider Name | Sylvanus Kwame Fiakpornoo |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1407056302 PECOS PAC ID: 9032205026 Enrollment ID: I20090727000455 |
| Provider Name | Isabelle M Ofori |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033497672 PECOS PAC ID: 4486824158 Enrollment ID: I20110907001288 |
| Provider Name | Mya Williams |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831638006 PECOS PAC ID: 1951678010 Enrollment ID: I20170522002058 |
| Provider Name | Yolonda Michelle Rawls |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053986174 PECOS PAC ID: 8628461944 Enrollment ID: I20240625001529 |
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