Individual
ANDREW BRADLEY REISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3720 GRIFFIN DR, GAINESVILLE, GA 30506-3753
(770) 654-8905
Mailing address
3720 GRIFFIN DR, GAINESVILLE, GA 30506-3753
(770) 654-8905
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
042406
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000716878A
—
GA
01
—
0100333
UNITED HEALTHCARE
GA
01
—
10045366
AMERIGROUP
GA
01
—
341309
WELLCARE
GA
01
—
4969623
CIGNA
GA
01
—
5218658
AETNA PPO
GA
01
—
52595494
BCBS
GA
01
—
80109236
RR MEDICARE-GRP # CC4177
GA
Enumeration date
01/20/2006
Last updated
09/30/2025
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