Ambroze, Wayne L

Ambroze, Wayne L is an individual health care provider with primary practice located at 5445 Meridian Marks Rd Suite 180, Atlanta GA 30342-4763. He recently has only one registered license in Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, which is considered as his primary health care specialty. Ambroze, Wayne L can be contacted via phone (770) 277-4277.

Contact Information

Primary practice address
5445 Meridian Marks Rd Suite 180 Atlanta GA 30342-4763
Phone: (770) 277-4277
Fax: (404) 252-5745
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X 033019 Georgia

Profile Details

NPI number 1972561405
LBN Legal business name Ambroze, Wayne L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2006
Last updated Oct 19th, 2020 - about 4 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1972561405 NPPES
Other 52022684 BCBS
Other 1406030 BCBS
Other 216188012 BCBS
Other 4120130 BCBS
Other 1129 BCBS
Other 519446 BCBS
MEDICAID 00432011B BCBS

Popular Providers