Giddens, Mary Kopp

Giddens, Mary Kopp is an sole proprietor health care provider with primary practice located at 2538 Old Holton Rd , Macon GA 31204-1729. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, Allopathic & Osteopathic Physicians / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Giddens, Mary Kopp can be contacted via phone (478) 731-0385.

Contact Information

Primary practice address
2538 Old Holton Rd Macon GA 31204-1729
Phone: (478) 731-0385
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X RN183848 Georgia
Allopathic & Osteopathic Physicians / Pediatrics 208000000X RN183848 Georgia

Profile Details

NPI number 1285129973
LBN Legal business name Giddens, Mary Kopp
Credentials RN, APRN
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 26th, 2018
Last updated Jan 7th, 2019 - about 7 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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