Individual
DR. ANDREW TICE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1136 JACKSON SPRINGS RD, MACON, GA 31211-1435
(478) 746-9797
Mailing address
1136 JACKSON SPRINGS RD, MACON, GA 31211-1435
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
020838
GA
Other
Enumeration date
01/05/2006
Last updated
07/08/2007
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