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Individual

ANDREW BOSSERMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
790 CHURCH ST NE STE 400, MARIETTA, GA 30060-8957
(770) 405-2976
(770) 988-0730
Mailing address
PO BOX 3157, INDIANAPOLIS, IN 46206-3157
(770) 405-2976
(770) 988-0730

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
88404
GA
2085R0202X
Diagnostic Radiology Physician
S4104
TX

Other

Enumeration date
03/25/2015
Last updated
07/06/2022
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