Cochran, Amy H

Cochran, Amy H is an individual health care provider with primary practice located at 1485 Jesse Jewell Pkwy Ne Suite 200, Gainesville GA 30501-3801. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Cochran, Amy H can be contacted via phone (770) 534-5255.

Contact Information

Primary practice address
1485 Jesse Jewell Pkwy Ne Suite 200 Gainesville GA 30501-3801
Phone: (770) 534-5255
Fax: (770) 287-3871
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 38518 Georgia

Profile Details

NPI number 1114903689
LBN Legal business name Cochran, Amy H
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated Nov 9th, 2016 - about 8 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 1114903689 NPPES
Georgia MEDICAID 003180245A
Georgia MEDICAID 2008249018

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