Individual
DR. WILLIAM C ANDOLSEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1575 N EAST EXPY NE, BROOKHAVEN, GA 30329-2317
(404) 785-1258
Mailing address
1575 N EAST EXPY NE, BROOKHAVEN, GA 30329-2317
(404) 785-1258
Taxonomy
Speciality
Code
Description
License number
State
2085P0229X
Pediatric Radiology Physician
Primary
5522135-1204
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107027526101
SELECTHEALTH
UT
01
—
1600683
UNITED HEALTHCARE
UT
01
—
35524
UUHN
UT
01
—
35834
DESERET MUTUAL
UT
01
—
55221351200001
BLUE SHIELD
UT
01
—
76374
PUBLIC EMPLOYEES HEALTH
UT
01
—
8550895
AETNA
UT
01
—
870355724AND
EDUCATORS MUTUAL
UT
01
—
QM0000027099
ALTIUS
UT
Enumeration date
08/30/2006
Last updated
10/21/2024
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