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NPI Code Detail

MEDICARE: ELLA CECILIA AMADOR M.D.

MEDICARE: ELLA CECILIA AMADOR M.D.
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
1207Q00000XFamily Medicine Physician70033GA

General Provider Information

NPI Number : 1558682880
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELLA CECILIA AMADOR M.D.
Provider Business Mailing Address
First Line : PO BOX 1038
Second Line :
City : COLUMBUS
State : GA
Zip : 31902-1038
Country : US
Telephone Number : 706-660-6148
Fax Number : 706-660-2843
Provider Business Practice Location Address
First Line : 7301 BLACKMON RD
Second Line :
City : COLUMBUS
State : GA
Zip : 31909-4478
Country : US
Telephone Number : 706-321-3750
Fax Number : 762-821-2936
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/22/2010
Last Update Date : 12/08/2021

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