Amidei, Tina M

Amidei, Tina M is an individual health care provider with primary practice located at 55 Whitcher St Ne Suite 350, Marietta GA 30060-1155. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Amidei, Tina M can be contacted via phone (770) 424-6893.

Contact Information

Primary practice address
55 Whitcher St Ne Suite 350 Marietta GA 30060-1155
Fax: (678) 819-0357
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X RN147435 Georgia

Profile Details

NPI number 1285693234
LBN Legal business name Amidei, Tina M
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2006
Last updated Jun 11th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285693234 NPPES
Georgia MEDICAID 784964376B(MARIETTA)
Georgia MEDICAID 784964376E-HIRAM
Georgia MEDICAID 784964376D(DOUGLAS)
Georgia MEDICAID 784964376C-WOODSTOCK
Georgia MEDICAID 784964376F(AUSTELL)

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