Meadows, Amon A
Meadows, Amon A is an sole proprietor health care provider with primary practice located at 4686 S Atlanta Rd Se Suite I, Smyrna GA 30080-7080. He recently has only one registered license in Dental Providers / Dentist, which is considered as his primary health care specialty. Meadows, Amon A can be contacted via phone (404) 799-8499.Contact Information
Primary practice address
4686 S Atlanta Rd Se Suite I
Smyrna GA 30080-7080
Phone: (404) 799-8499
Fax: (404) 799-8496
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 11763 | Georgia |
Profile Details
| NPI number | 1073785820 |
|---|---|
| LBN Legal business name | Meadows, Amon A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 1st, 2008 |
| Last updated | Apr 1st, 2008 - about 18 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 | 1073785820 | NPPES |
| Georgia | MEDICAID | 00772461D |
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