=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366439408
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | AMY WILLIAMS DOOLEY PHARM.D.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/04/2005
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1000 JOHNSON FERRY RD NE DEPARTMENT OF PHARMACY
-----------------------------------------------------
City | ATLANTA
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30342-1606
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-845-5991
-----------------------------------------------------
Fax | 404-851-6089
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2842 LANGFORD COMMONS DR
-----------------------------------------------------
City | NORCROSS
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30071-1520
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-845-5991
-----------------------------------------------------
Fax | 404-851-6089
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1835P1200X
-----------------------------------------------------
Taxonomy Name | Pharmacotherapy Pharmacist
-----------------------------------------------------
License Number | RPH020806
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------