Provider Demographics
NPI:1023301660
Name:GOSS, AMY REED (MD)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:REED
Last Name:GOSS
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:119 AMBULANCE DR 202
Mailing Address - Street 2:
Mailing Address - City:CARROLLTON
Mailing Address - State:GA
Mailing Address - Zip Code:30117-3857
Mailing Address - Country:US
Mailing Address - Phone:770-838-8710
Mailing Address - Fax:770-838-8563
Practice Address - Street 1:109 PROFESSIONAL PL
Practice Address - Street 2:
Practice Address - City:CARROLLTON
Practice Address - State:GA
Practice Address - Zip Code:30117-3862
Practice Address - Country:US
Practice Address - Phone:770-834-0170
Practice Address - Fax:770-214-1546
Is Sole Proprietor?:No
Enumeration Date:2011-05-16
Last Update Date:2015-11-19
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Provider Licenses
StateLicense IDTaxonomies
GA074196207VG0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VG0400XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyGynecology