Coto-Puckett, Wendy Lynn

Coto-Puckett, Wendy Lynn is an individual health care provider with primary practice located at 743 Spring St Ne , Gainesville GA 30501-3715. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine. Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine is her primary health care specialty. Coto-Puckett, Wendy Lynn can be contacted via phone (770) 535-3611.

Contact Information

Primary practice address
743 Spring St Ne Gainesville GA 30501-3715
Fax: (770) 535-7092
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 059908 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X A108494 California
Allopathic & Osteopathic Physicians / Neonatal-Perinatal Medicine 2080N0001X 059908 Georgia

Profile Details

NPI number 1316123557
LBN Legal business name Coto-Puckett, Wendy Lynn
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2008
Last updated Jan 15th, 2013 - about 11 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 1316123557 NPPES
Georgia Other 712419 WELLCARE HEALTH PLANS
Georgia Other 52597492 WELLCARE HEALTH PLANS
Georgia Other 01674418 WELLCARE HEALTH PLANS

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