Coots, Tammy

Coots, Tammy is an individual health care provider with primary practice located at 110 Eagles Walk Suite 100, Stockbridge GA 30281-7204. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Coots, Tammy can be contacted via phone (770) 507-6044.

Contact Information

Primary practice address
110 Eagles Walk Suite 100 Stockbridge GA 30281-7204
Phone: (770) 507-6044
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY002471 Georgia
Behavioral Health & Social Service Providers / Clinical 103TC0700X 850 Louisiana

Profile Details

NPI number 1477696243
LBN Legal business name Coots, Tammy
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 14th, 2007
Last updated Jul 8th, 2007 - about 18 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 1477696243 NPPES
Georgia MEDICAID 00892911A

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