Basic Information
Provider Information
NPI: 1578558482
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: FRENCH
FirstName: AMBER
MiddleName: C
NamePrefix:  
NameSuffix:  
Credential: D.O.
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 742616
Address2:  
City: ATLANTA
State: GA
PostalCode: 303742616
CountryCode: US
TelephoneNumber: 7702198420
FaxNumber:  
Practice Location
Address1: 1298 S CHESTATEE
Address2:  
City: DAHLONEGA
State: GA
PostalCode: 305335530
CountryCode: US
TelephoneNumber: 7021996007
FaxNumber:  
Other Information
ProviderEnumerationDate: 09/16/2005
LastUpdateDate: 10/15/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/15/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
174400000X054210GAN Other Service ProvidersSpecialist 
207VG0400X054210GAY Allopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology

No ID Information.


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