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1487176327

NPI Code Detail

MEDICARE: TAREK AMOUN MD

MEDICARE: TAREK AMOUN MD

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
1	207RC0200X	Critical Care Medicine (Internal Medicine) Physician	94482	GA
2	207RP1001X	Pulmonary Disease Physician	94482	GA

General Provider Information

NPI Number	:	1487176327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TAREK AMOUN MD

Provider Business Mailing Address
First Line	:	PO BOX 689022
Second Line	:
City	:	FRANKLIN
State	:	TN
Zip	:	37068-9022
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1601 FAIR RD STE 600
Second Line	:
City	:	STATESBORO
State	:	GA
Zip	:	30458-0800
Country	:	US
Telephone Number	:	912-681-4911
Fax Number	:	912-681-6911

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/12/2017
Last Update Date	:	08/10/2023

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Directions to “ TAREK AMOUN MD” Practice Location

Language	Start Address	Practice Location

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