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
Phone: (706) 776-2368
Fax: (706) 776-2589
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1740525054 | NPPES |
Georgia | MEDICAID | 003129979B | |
Georgia | MEDICAID | 003129979A | |
Georgia | MEDICAID | 003129979C | |
Georgia | MEDICAID | 003129979E | |
Georgia | MEDICAID | 003129979D |
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