Healthcare Provider Details

I. General information

NPI: 1134815624
Provider Name (Legal Business Name): AMORE MARIE JONES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/17/2023
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

720 WESTVIEW DR SW
ATLANTA GA
30310-1458
US

IV. Provider business mailing address

8203 ESTES RD
MACON GA
31220-5638
US

V. Phone/Fax

Practice location:
  • Phone: 404-756-1393
  • Fax:
Mailing address:
  • Phone: 478-973-9504
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208000000X
TaxonomyPediatrics Physician
License Number113377
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code2080N0001X
TaxonomyNeonatal-Perinatal Medicine Physician
License Number113377
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: