Individual
JUAN R AMADOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2122 MANCHESTER EXPRESSWAY, COLUMBUS, GA 31904-6878
(706) 596-4000
Mailing address
PO BOX 11509, WESTMINSTER, CA 92685-1150
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
032118
GA
207Q00000X
Family Medicine Physician
032118
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00476484G
—
GA
Enumeration date
06/06/2006
Last updated
04/11/2019
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