Carroll, Amy R

Carroll, Amy R is an individual health care provider with primary practice located at 699 Church St Ne Ste 235 , Marietta GA 30060-1132. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Gynecologic Oncology. Allopathic & Osteopathic Physicians / Gynecologic Oncology is her primary health care specialty. Carroll, Amy R can be contacted via phone (770) 792-6262.

Contact Information

Primary practice address
699 Church St Ne Ste 235 Marietta GA 30060-1132
Phone: (770) 792-6262
Fax: (770) 590-4187
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 070059 Georgia
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X 070059 Georgia

Profile Details

NPI number 1659575256
LBN Legal business name Carroll, Amy R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 14th, 2007
Last updated Nov 5th, 2019 - about 5 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 1659575256 NPPES
Georgia MEDICAID 003137055A

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