| Susan S. Amos M.d.p.c. | |
|
2929 S 1st St Suite 3 Terre Haute IN 47802-3725 | |
| (812) 232-2936 | |
| (812) 232-9536 |
| Full Name | Susan S. Amos M.d.p.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 2929 S 1st St, Terre Haute, Indiana |
| Authorized Official Name and Position | Susan S. Amos (PRESIDENT) |
| Authorized Official Contact | 8122322936 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Susan S. Amos M.d.p.c. 2929 S 1st St Suite 3 Terre Haute IN 47802-3725 Ph: (812) 232-2936 | Susan S. Amos M.d.p.c. 2929 S 1st St Suite 3 Terre Haute IN 47802-3725 Ph: (812) 232-2936 |
| NPI Number | 1821320920 |
|---|---|
| Provider Enumeration Date | 02/01/2010 |
| Last Update Date | 02/01/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821320920 | NPI | - | NPPES |
| 100251480A | Medicaid | IN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 01031117 (Indiana) | Primary |
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