Organization
JODY AMAZON PC
Active
Other names
Ahava Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
JORDYN ISABEL ANDREWS (PRACTICE MANAGER)
(678) 336-9102
Entity
Organization
Contact information
Practice address
2160 FOUNTAIN DR STE 220, SNELLVILLE, GA 30078-7022
(678) 336-9102
(770) 674-8563
Mailing address
2160 FOUNTAIN DR STE 220, SNELLVILLE, GA 30078-7022
(678) 336-9102
(770) 674-8563
Taxonomy
Speciality
Code
Description
License number
State
2084P0805X
Geriatric Psychiatry Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003122521D
—
GA
Enumeration date
01/14/2021
Last updated
01/14/2021
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