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Individual

MS. ANDREA ROCHE GAYDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ANP-BC

Contact information

Practice address
4120 FIVE FORKS TRICKUM RD SW STE 105, LILBURN, GA 30047-8975
(770) 921-6900
Mailing address
4120 FIVE FORKS TRICKUM RD SW STE 105, LILBURN, GA 30047-8975
(770) 921-6900

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
RN208594
GA
363LA2200X
Adult Health Nurse Practitioner
RN208594
GA

Other

Enumeration date
06/02/2014
Last updated
12/11/2025
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