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Individual

MR. ANDRE D FERIA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
142 OLD MILL ROAD, LAGRANGE, GA 30241-6704
(706) 885-1900
(706) 882-1350
Mailing address
142 OLD MILL ROAD, LAGRANGE, GA 30241-6704
(706) 885-1900
(706) 882-1350

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
048513
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000866203A
GA
Enumeration date
08/17/2005
Last updated
06/30/2008
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