Anderson, Amos
Anderson, Amos is an individual health care provider with primary practice located at 5400 Bowman Rd Suite 100, Macon GA 31210-8879. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Anderson, Amos can be contacted via phone (478) 745-6576.Contact Information
Primary practice address
5400 Bowman Rd Suite 100
Macon GA 31210-8879
Phone: (478) 745-6576
Fax: (478) 746-0018
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 19632 | Georgia |
Profile Details
| NPI number | 1568473429 |
|---|---|
| LBN Legal business name | Anderson, Amos |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 10th, 2006 |
| Last updated | Jul 23rd, 2013 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568473429 | NPPES |
| Georgia | MEDICAID | 000178406B | |
| Georgia | Other | 110010866 | |
| Georgia | Other | 063760 |
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