Organization
ANDREW W. SISK, MD, FACS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREW W. SISK M.D. (OWNER)
(931) 381-4976
Entity
Organization
Contact information
Practice address
1223 TROTWOOD AVE, COLUMBIA, TN 38401-4854
(931) 381-4976
(931) 388-0600
Mailing address
PO BOX 317, COLUMBIA, TN 38402-0317
(931) 381-4976
(931) 388-0600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
007326
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020839
BLUE CROSS OF TENNESSEE
TN
Enumeration date
08/01/2007
Last updated
01/28/2008
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