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NPI Code Detail

MEDICARE: DR. AMBER JO ORQUIA MD

MEDICARE: DR. AMBER JO ORQUIA 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
1207Q00000XFamily Medicine Physician038899GA

General Provider Information

NPI Number : 1881683001
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. AMBER JO ORQUIA MD
Provider Business Mailing Address
First Line : 3707 LARGENT WAY NW
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1672
Country : US
Telephone Number : 678-581-5830
Fax Number : 678-581-5835
Provider Business Practice Location Address
First Line : 3707 LARGENT WAY NW
Second Line :
City : MARIETTA
State : GA
Zip : 30064-1672
Country : US
Telephone Number : 678-581-5830
Fax Number : 678-581-5835
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/20/2005
Last Update Date : 03/08/2012

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Directions to “ DR. AMBER JO ORQUIA MD” Practice Location

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