Provider Demographics
NPI:1447741269
Name:ASIAMAH-MCMILLAN, AKUA E (MD)
Entity type:Individual
Prefix:
First Name:AKUA
Middle Name:E
Last Name:ASIAMAH-MCMILLAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:617 LACELEAF LN
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-4308
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:404-666-0085
Practice Address - Street 1:55 SIMS ST
Practice Address - Street 2:
Practice Address - City:MCDONOUGH
Practice Address - State:GA
Practice Address - Zip Code:30253-2320
Practice Address - Country:US
Practice Address - Phone:770-957-3922
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-05-29
Last Update Date:2024-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA86945207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine