Individual
ALEXANDER JOHN ANDRIUK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1700 MEDICAL WAY, EASTSIDE MEDICAL CENTER, SNELLVILLE, GA 30278
(770) 736-2376
(770) 736-2379
Mailing address
PO BOX 116301, PARAGON EMERGENCY PHYSICIANS PC, ATLANTA, GA 30368-6301
(800) 666-2455
(610) 617-6280
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
046350
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000823358A
—
GA
Enumeration date
06/01/2006
Last updated
01/23/2013
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