# ANDREW V CICHELLI MD INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** EAST GEORGIA PULMONARY & SLEEP DISORDER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1225201494
- **Authorized official:** MRS. JOANNE D SABB (BILLING SECRETARY)
- **Authorized official phone:** (912) 681-4911

## Contact information

- **Practice address:** 1601 FAIR RD, SUITE 600, STATESBORO, GA 30458-1698
- **Practice address phone:** (912) 681-4911
- **Practice address fax:** (912) 681-6911
- **Mailing address:** 1601 FAIR RD, SUITE 600, STATESBORO, GA 30458-1698
- **Mailing address phone:** (912) 681-4911
- **Mailing address fax:** (912) 681-6911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RP1001X | Pulmonary Disease Physician | — | NULL | Yes |
| 207RP1001X | Pulmonary Disease Physician | — | — | Yes |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | NULL | — |
| 2084S0012X | Sleep Medicine (Psychiatry & Neurology) Physician | — | — | — |

## Other

- **Enumeration date:** 04/09/2008
- **Last updated:** 04/10/2008