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Individual

ANDREW A. KRAMER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1600 MEDICAL WAY, SUITE 220, SNELLVILLE, GA 30078-2166
(770) 972-7999
(770) 972-9528
Mailing address
1600 MEDICAL WAY, SUITE 220, SNELLVILLE, GA 30078-2166
(770) 972-7999
(770) 972-9528

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
58795
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
266205100
FL
01
590-74693
BLUE CROSS BLUE SHIELD
AL
01
62875
BLUE CROSS BLUE SHIELD
FL
05
650596740A
GA
Enumeration date
12/15/2005
Last updated
11/07/2012
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