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NPI Code Detail

MEDICARE: AMADOU JOHN

MEDICARE: AMADOU JOHN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1237700000XHearing Instrument SpecialistHADS001067GA

General Provider Information

NPI Number : 1417813759
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMADOU JOHN
Provider Business Mailing Address
First Line : 3132 HAYNES PARK DR
Second Line :
City : STONECREST
State : GA
Zip : 30038-7150
Country : US
Telephone Number : 470-645-1210
Fax Number : 855-461-3199
Provider Business Practice Location Address
First Line : 1055 HOWELL MILL RD NW FL 8
Second Line :
City : ATLANTA
State : GA
Zip : 30318-5557
Country : US
Telephone Number : 470-645-1210
Fax Number : 855-461-3199
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/30/2025
Last Update Date : 12/30/2025

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Directions to “ AMADOU JOHN ” Practice Location

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