SearchGeorgia156FX1800X

Amos Washington, LDO

NPI 1720582992 · on the registry since 2018 · sole proprietor

Practice

Address
10269 Industrial Blvd Ne
Covington, GA 30014
Phone
(678) 682-5509
Organisation at this address
My Saviours Grace Llc
Inferred from a shared address, not stated in the registry.

Registry record

Primary taxonomy
156FX1800X
156FX1800X
Licence states on file
GA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-03-21

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