Jorge Amador Md Llc | |
60 Oak Hill Blvd Ste 204 Newnan GA 30265-2314 | |
(770) 400-8444 | |
(770) 400-8445 |
Full Name | Jorge Amador Md Llc |
---|---|
Speciality | Family Medicine |
Location | 60 Oak Hill Blvd Ste 204, Newnan, Georgia |
Authorized Official Name and Position | Jorge Amador (PRESIDENT) |
Authorized Official Contact | 7704008444 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Jorge Amador Md Llc 8 Village Ln Newnan GA 30265-1902 Ph: (770) 400-8444 | Jorge Amador Md Llc 60 Oak Hill Blvd Ste 204 Newnan GA 30265-2314 Ph: (770) 400-8444 |
NPI Number | 1669895959 |
---|---|
Provider Enumeration Date | 01/23/2014 |
Last Update Date | 01/23/2014 |
Medicare PECOS PAC ID | 0143451625 |
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Medicare Enrollment ID | O20140326001186 |
Identifier | Type | State | Issuer |
---|---|---|---|
1669895959 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Jorge A Amador Martinez |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1588619530 PECOS PAC ID: 6709955016 Enrollment ID: I20080513000185 |
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