Individual
DR. AMON A MEADOWS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
4686 S ATLANTA RD SE, SUITE I, SMYRNA, GA 30080-7080
(404) 799-8499
(404) 799-8496
Mailing address
4686 S ATLANTA RD SE, SUITE I, SMYRNA, GA 30080-7080
(404) 799-8499
(404) 799-8496
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
11763
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00772461D
—
GA
Enumeration date
04/01/2008
Last updated
04/01/2008
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