Search › Georgia › 183500000X
Kenneth Amayo
NPI 1558837443 · on the registry since 2018 · sole proprietor
Practice
- Address
- 330 E Greene St
Monticello, GA 31064 - Phone
- (706) 468-1666
- Fax
- (706) 468-0782
- Organisation at this address
- Georgia Cvs Pharmacy, L.L.C.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 2
Additional practice sites
- 399 Plantation Way Apt 2420, Macon, GA
Registry record
- Primary taxonomy
- 183500000X
183500000X
- Licence states on file
- GA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2020-11-29
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia