Organization
ANDREW V CICHELLI MD INC
Active
Other names
EAST GEORGIA PULMONARY & SLEEP DISORDER
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOANNE D SABB (BILLING SECRETARY)
(912) 681-4911
Entity
Organization
Contact information
Practice address
1601 FAIR RD, SUITE 600, STATESBORO, GA 30458-1698
(912) 681-4911
(912) 681-6911
Mailing address
1601 FAIR RD, SUITE 600, STATESBORO, GA 30458-1698
(912) 681-4911
(912) 681-6911
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
2084S0012X
Sleep Medicine (Psychiatry & Neurology) Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1225201494
NPI
GA
Enumeration date
04/09/2008
Last updated
04/10/2008
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