Fiest, Amy
Fiest, Amy is an individual health care provider with primary practice located at 1114 S Wall St , Calhoun GA 30701-3062. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is her primary health care specialty. Fiest, Amy can be contacted via phone (706) 624-3000.Contact Information
Primary practice address
1114 S Wall St
Calhoun GA 30701-3062
Phone: (706) 624-3000
Fax: (706) 624-3000
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics | 2251P0200X | PT004588 | Georgia |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT004588 | Georgia |
Profile Details
| NPI number | 1669478756 |
|---|---|
| LBN Legal business name | Fiest, Amy |
| Credentials | Physical Therapist (PT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 22nd, 2005 |
| Last updated | Dec 19th, 2023 - about 2 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 | 1669478756 | NPPES |
| Georgia | Other | 10037583 | AMERIGROUP |
| Georgia | MEDICAID | 000874475C | AMERIGROUP |
| Georgia | Other | 344061 | AMERIGROUP |
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