NPI 1679812465

Amy Coachman, CNA

Practitioner Contractor Covington, GA

Practice location

Address: 60 Trelawney Run, Covington, GA 30016-6877
Phone: (678) 858-8833

Registered specialties

Contractor Primary

Other Service Providers Taxonomy 171W00000X Licence CN0028890059 (GA)

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Registry record

NPI: 1679812465
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Feb 2013
Record last updated: 13 Feb 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.