Individual
THEODORE H AMEREDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1801 ASHLEY CIR, BOWLING GREEN, KY 42104-3362
(270) 793-1000
Mailing address
PO BOX 2563, DALTON, GA 30722-2563
(423) 310-1642
(423) 310-1642
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
946
TN
Other
Enumeration date
08/14/2006
Last updated
03/03/2017
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