Individual
DELL ANDREW HULSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-0004
(706) 721-8623
Mailing address
1120 15TH ST STE BI-1056, AUGUSTA, GA 30912-0004
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
003898
GA
363AS0400X
Surgical Physician Assistant
Primary
3898
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3898
PHY ASST GA MEDICAL LICENSE
GA
Enumeration date
11/15/2006
Last updated
07/15/2020
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