Conner, Amy Beck

Conner, Amy Beck is an individual health care provider with primary practice located at 155 Professional Dr , Baldwin GA 30511-4000. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as her primary health care specialty. Conner, Amy Beck can be contacted via phone (706) 776-2368.

Contact Information

Primary practice address
155 Professional Dr Baldwin GA 30511-4000
Fax: (706) 776-2589
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN194985 Georgia

Profile Details

NPI number 1740525054
LBN Legal business name Conner, Amy Beck
Credentials CPNP-PC
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 28th, 2012
Last updated Aug 17th, 2023 - about last year

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 1740525054 NPPES
Georgia MEDICAID 003129979B
Georgia MEDICAID 003129979A
Georgia MEDICAID 003129979C
Georgia MEDICAID 003129979E
Georgia MEDICAID 003129979D

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