Southwood, Amanda Kelly
Southwood, Amanda Kelly is an individual health care provider with primary practice located at 1326 Eisenhower Dr , Savannah GA 31406-3928. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as her primary health care specialty. Southwood, Amanda Kelly can be contacted via phone (912) 691-4250.Contact Information
Primary practice address
1326 Eisenhower Dr
Savannah GA 31406-3928
Phone: (912) 691-4250
Fax: (912) 691-4254
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT008334 | Georgia |
Profile Details
NPI number | 1285633982 |
---|---|
LBN Legal business name | Southwood, Amanda Kelly |
Credentials | Master of Physical Therapy (MPT) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 15th, 2005 |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1285633982 | NPPES |
Georgia | Other | 392723 | BCBS |
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