Individual
AMELIA SHEEHAN BOSTWICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
114 W CHERRY ST, JESUP, GA 31545-1309
(912) 588-1020
(912) 588-1002
Mailing address
114 W CHERRY ST, JESUP, GA 31545-1309
(912) 588-1020
(912) 588-1002
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
75959
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
12/16/2008
Last updated
07/01/2016
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