Individual
DR. KENNETH EDO AMAYO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
330 E GREENE ST, MONTICELLO, GA 31064-1012
(706) 468-1666
(706) 468-0782
Mailing address
330 E GREENE ST, MONTICELLO, GA 31064-1012
(706) 468-1666
(706) 468-0782
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
029586
GA
Other
Enumeration date
10/17/2018
Last updated
11/29/2020
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