Individual
AMY COACHMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNA
Contact information
Practice address
60 TRELAWNEY RUN, COVINGTON, GA 30016-6877
(678) 858-8833
Mailing address
60 TRELAWNEY RUN, COVINGTON, GA 30016-6877
(678) 858-8833
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
CN0028890059
GA
Other
Enumeration date
02/13/2013
Last updated
02/13/2013
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