Individual provider · NPI-1
Juan R Amador, MD
Emergency Medicine · Columbus, GA
NPI number1982643490
StatusActive
Last updated in NPPESApr 11, 2019
Details
- NPI
- 1982643490
- Entity type
- Individual (NPI-1)
- Name
- Juan R Amador
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 6, 2006
- Last updated
- Apr 11, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207P00000X | Emergency Medicine | 032118 | GA | Yes |
| 207Q00000X | Family Medicine | 032118 | GA |
Practice location
2122 Manchester ExpresswayColumbus, GA 31904-6878
Phone 706-596-4000
Mailing address
Po Box 11509Westminster, CA 92685-1150
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