Provider Demographics
NPI:1699734327
Name:DOWNS, AMANDA JANE (MD)
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JANE
Last Name:DOWNS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2727 PACES FERRY ROAD
Mailing Address - Street 2:SUITE 1-1100 (ATTENTION DENISE)
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339
Mailing Address - Country:US
Mailing Address - Phone:407-271-3421
Mailing Address - Fax:
Practice Address - Street 1:1351 STONEBRIDGE PKWY
Practice Address - Street 2:BLDG 105
Practice Address - City:WATKINSVILLE
Practice Address - State:GA
Practice Address - Zip Code:30677-6037
Practice Address - Country:US
Practice Address - Phone:706-769-3331
Practice Address - Fax:706-769-3360
Is Sole Proprietor?:No
Enumeration Date:2006-03-21
Last Update Date:2018-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA041544207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00709904BMedicaid
11BDKTR01Medicare ID - Type Unspecified
GA00709904BMedicaid