Ambrosia, Jerry

Ambrosia, Jerry is an individual health care provider with primary practice located at 2300 Manchester Expy Ste 101A, Columbus GA 31904-6802. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Ambrosia, Jerry can be contacted via phone (706) 322-6646.

Contact Information

Primary practice address
2300 Manchester Expy Ste 101A Columbus GA 31904-6802
Phone: (706) 322-6646
Fax: (706) 322-2891
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 074247 Georgia

Profile Details

NPI number 1831419191
LBN Legal business name Ambrosia, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2010
Last updated Jul 10th, 2015 - about 9 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 1831419191 NPPES
Georgia MEDICAID 003161557A

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