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
Phone: (770) 535-3611
Fax: (770) 535-7092
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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