Provider Demographics
NPI:1699000323
Name:SCHMIDT, AMY (CD(DONA))
Entity type:Individual
Prefix:MRS
First Name:AMY
Middle Name:
Last Name:SCHMIDT
Suffix:
Gender:F
Credentials:CD(DONA)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 RIVERSIDE PKWY
Mailing Address - Street 2:SUITE 119
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30043-5927
Mailing Address - Country:US
Mailing Address - Phone:770-241-2078
Mailing Address - Fax:
Practice Address - Street 1:2100 RIVERSIDE PKWY
Practice Address - Street 2:SUITE 119
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30043-5927
Practice Address - Country:US
Practice Address - Phone:770-241-2078
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2009-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA374J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374J00000XNursing Service Related ProvidersDoula