Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 106324 | FL |
Y | 207Q00000X | Family Doctor | 23667 | MS |
N | 207Q00000X | Family Doctor | 4301093757 | MI |
NPI | 1003059874 |
---|---|
Provider Name | Mr. Aaron Ashley Amos |
First Address | Nashville, TN 37215-6403 |
Second Address | Tupelo, MS 38804-1202 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 09/04/2009 |
Last Update Date | 31/10/2018 |