Individual ProviderAmanda CainInternal MedicineAllopathic & Osteopathic PhysiciansPractice Address950 S Enota Dr NE Ste B, Gainesville, GA 30501-2439(770) 531-0530(770) 219-8420PECOS EnrollmentBased on the most recent information from CMS, provider Amanda Cain does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 5 days ago.Profile DetailsProvider ID1104842954Provider TypeIndividualFull NameCain, AmandaCredentialMDGenderFemaleSole ProprietorYesEnumeration Date7/14/2006Last Updated12/18/2015Contact InformationPractice LocationPractice Address950 S Enota Dr NE Ste B, Gainesville, GA 30501-2439Phone(770) 531-0530Fax(770) 531-0491Mailing LocationMailing AddressPO Box 742616, Atlanta, GA 30374-2616Phone(770) 219-8420Fax(770) 219-8440Provider TaxonomiesCodeDescriptionLicenseCode207R00000XPrimaryDescriptionInternal MedicineAllopathic & Osteopathic PhysiciansLicense037770GeorgiaProvider IdentifiersIDDescriptionIssuerID96141DescriptionOtherIssuerBC/BSGeorgia