Individual
ANDREW S HARPER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1364 WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 922-4024
(770) 761-7179
Mailing address
1364 WELLBROOK CIR NE, CONYERS, GA 30012-3872
(770) 922-4024
(770) 761-7179
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31937
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00417821B
—
GA
01
—
511I020036
MEDICARE PTAN
GA
01
—
P00469035
MEDICARE RAILROAD
GA
Enumeration date
07/28/2005
Last updated
07/25/2012
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