Provider Demographics
NPI:1003059874
Name:AMOS, AARON ASHLEY (MD)
Entity type:Individual
Prefix:MR
First Name:AARON
Middle Name:ASHLEY
Last Name:AMOS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:30 BURTON HILLS BLVD
Mailing Address - Street 2:STE 175
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37215-6403
Mailing Address - Country:US
Mailing Address - Phone:615-864-8703
Mailing Address - Fax:615-864-7565
Practice Address - Street 1:1020 N GLOSTER ST # 123
Practice Address - Street 2:
Practice Address - City:TUPELO
Practice Address - State:MS
Practice Address - Zip Code:38804-1202
Practice Address - Country:US
Practice Address - Phone:407-508-8618
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-09
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MI4301093757207Q00000X
FL106324207Q00000X
MS23667207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine