Provider Demographics
NPI:1831383777
Name:DUNAHOO, AMY KATHRYN
Entity type:Individual
Prefix:DR
First Name:AMY
Middle Name:KATHRYN
Last Name:DUNAHOO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 W MIDLAND AVE
Mailing Address - Street 2:
Mailing Address - City:WINDER
Mailing Address - State:GA
Mailing Address - Zip Code:30680-2564
Mailing Address - Country:US
Mailing Address - Phone:770-867-3500
Mailing Address - Fax:770-867-3566
Practice Address - Street 1:35 W MIDLAND AVE
Practice Address - Street 2:
Practice Address - City:WINDER
Practice Address - State:GA
Practice Address - Zip Code:30680-2564
Practice Address - Country:US
Practice Address - Phone:770-867-3500
Practice Address - Fax:770-867-3566
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH016800183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist