Thomas, Amy R

Thomas, Amy R is an individual health care provider with primary practice located at 1641 Madison Ave , Tifton GA 31794-3757. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Thomas, Amy R can be contacted via phone (229) 353-6188.

Contact Information

Primary practice address
1641 Madison Ave Tifton GA 31794-3757
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X SLP008491 Georgia

Profile Details

NPI number 1265879969
LBN Legal business name Thomas, Amy R
Credentials MED CFY-SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2013
Last updated Dec 3rd, 2014 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1265879969 NPPES
Georgia Other PCET001895 GA LICENSE

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