Provider Demographics
NPI:1255502225
Name:DOWSETT, AMY S
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:S
Last Name:DOWSETT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:P
Other - Last Name:SCROGGINS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4380 GEORGETOWN SQ
Mailing Address - Street 2:STE 1002
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30338-6254
Mailing Address - Country:US
Mailing Address - Phone:770-220-8434
Mailing Address - Fax:770-234-9979
Practice Address - Street 1:1790 PRESIDENTIAL CIR STE A
Practice Address - Street 2:
Practice Address - City:SNELLVILLE
Practice Address - State:GA
Practice Address - Zip Code:30078-5688
Practice Address - Country:US
Practice Address - Phone:404-297-4230
Practice Address - Fax:770-985-5533
Is Sole Proprietor?:No
Enumeration Date:2008-03-18
Last Update Date:2020-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAUD003469231H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA511I640041Medicare PIN