Basic Information
| Provider Information | |||||||||
| NPI: | 1053413690 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FINDLEY | ||||||||
| FirstName: | AMBROUS | ||||||||
| MiddleName: | O | ||||||||
| NamePrefix: | |||||||||
| NameSuffix: | JR. | ||||||||
| Credential: | DO | ||||||||
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| Mailing Information | |||||||||
| Address1: | 331 RIDGECREST CIR | ||||||||
| Address2: | |||||||||
| City: | CLAYTON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 305254186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7067820440 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 331 RIDGECREST CIR | ||||||||
| Address2: | |||||||||
| City: | CLAYTON | ||||||||
| State: | GA | ||||||||
| PostalCode: | 305254186 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7067820440 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/03/2006 | ||||||||
| LastUpdateDate: | 02/27/2013 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 208D00000X | 029267 | GA | Y | Allopathic & Osteopathic Physicians | General Practice |
ID Information
| ID | Type | State | Issuer | Description | G28269 | 05 | SC | MEDICAID | 000094762G | 05 | GA | MEDICAID | 7906253 | 05 | NC | MEDICAID |