Amador, Juan R

Amador, Juan R is an individual health care provider with primary practice located at 2122 Manchester Expressway , Columbus GA 31904-6878. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Amador, Juan R can be contacted via phone (706) 596-4000.

Contact Information

Primary practice address
2122 Manchester Expressway Columbus GA 31904-6878
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 032118 Georgia
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 032118 Georgia

Profile Details

NPI number 1982643490
LBN Legal business name Amador, Juan R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Apr 11th, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1982643490 NPPES
Georgia MEDICAID 00476484G

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