Caudill, Amy
Caudill, Amy is an individual health care provider with primary practice located at 675 Seminole Ave Ne Suite T05, Atlanta GA 30307-3408. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Caudill, Amy can be contacted via phone (404) 575-4000.Contact Information
Primary practice address
675 Seminole Ave Ne Suite T05
Atlanta GA 30307-3408
Phone: (404) 575-4000
Fax: (404) 575-4010
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | OT004139 | Georgia |
Profile Details
| NPI number | 1326026717 |
|---|---|
| LBN Legal business name | Caudill, Amy |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Mar 14th, 2008 - 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 | 1326026717 | NPPES |
| Georgia | MEDICAID | 101163400A |
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