Bullens-Borrow, Amy E

Bullens-Borrow, Amy E is an individual health care provider with primary practice located at 1270 Friendship Rd , Braselton GA 30517-5630. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Bullens-Borrow, Amy E can be contacted via phone (678) 207-4477.

Contact Information

Primary practice address
1270 Friendship Rd Braselton GA 30517-5630
Phone: (678) 207-4477
Fax: (678) 207-4478
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 056413 Georgia

Profile Details

NPI number 1255347639
LBN Legal business name Bullens-Borrow, Amy E
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2006
Last updated Feb 27th, 2019 - about 6 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 1255347639 NPPES
Georgia Other 587774 WELLCARE
Georgia MEDICAID 310272239C WELLCARE
Georgia MEDICAID 310272239D WELLCARE
Georgia Other P00956721 WELLCARE
Georgia Other 01417999 WELLCARE
Georgia Other 52176459 WELLCARE
Georgia Other 7337297 WELLCARE
Georgia MEDICAID 310272239G WELLCARE
Georgia MEDICAID 310272239F WELLCARE
Georgia Other 2672603 WELLCARE
Georgia MEDICAID 310272239E WELLCARE

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