| Doctor Name: | AMY REED GOSS |
| NPI Number: | 1023301660 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.D. |
| License Number: | 074196 |
| Business Practice Address: | 109 Professional Pl Carrollton, GA - 301173862 |
| Business Phone Number: | 7708340170 |
| Business Fax Number: | 7702141546 |
| Mailing Address: | 119 Ambulance Dr 202, CARROLLTON |
| State: | GA |
| Postal Code: | 301173857 |
| Phone Number: | 7708388710 |
| Fax Number: | 7708388563 |
| NPI Enumeration Date: | 05/16/2011 |
| NPI Last Update Date: | 11/19/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207VG0400X |
| License Number: | 074196 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Obstetrics & Gynecology |
| Taxonomy Specialization: | Gynecology |
| Taxonomy Definition: | |