Provider Demographics
NPI:1538789052
Name:ADDO, NANA AFUA AKYAA (MD)
Entity type:Individual
Prefix:
First Name:NANA
Middle Name:AFUA AKYAA
Last Name:ADDO
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:SOUTH GEORGIA MEDICAL CENTER
Mailing Address - Street 2:2501 N PATTERSON ST
Mailing Address - City:VALDOSTA
Mailing Address - State:GA
Mailing Address - Zip Code:31602
Mailing Address - Country:US
Mailing Address - Phone:229-433-1000
Mailing Address - Fax:
Practice Address - Street 1:NORWALK HOSPITAL
Practice Address - Street 2:34 MAPLE STREET
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06856-3815
Practice Address - Country:US
Practice Address - Phone:203-852-2025
Practice Address - Fax:203-899-5224
Is Sole Proprietor?:No
Enumeration Date:2020-04-24
Last Update Date:2023-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA95862208M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208M00000XAllopathic & Osteopathic PhysiciansHospitalist