Provider Demographics
NPI:1063543817
Name:AMUA-QUARSHIE, MERCY INGRID (MD)
Entity type:Individual
Prefix:DR
First Name:MERCY
Middle Name:INGRID
Last Name:AMUA-QUARSHIE
Suffix:
Gender:F
Credentials:MD
Other - Prefix:DR
Other - First Name:MERCY
Other - Middle Name:INGRID
Other - Last Name:ADDO-YOBO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1458 CHURCH ST STE B
Mailing Address - Street 2:
Mailing Address - City:DECATUR
Mailing Address - State:GA
Mailing Address - Zip Code:30030-1672
Mailing Address - Country:US
Mailing Address - Phone:404-508-2000
Mailing Address - Fax:404-508-5560
Practice Address - Street 1:1458 CHURCH ST STE B
Practice Address - Street 2:
Practice Address - City:DECATUR
Practice Address - State:GA
Practice Address - Zip Code:30030-1672
Practice Address - Country:US
Practice Address - Phone:404-508-2000
Practice Address - Fax:404-508-5560
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA87567207V00000X, 207V00000X
DEC1-0009893207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJH04504Medicare UPIN