Individual
ANDREA IVORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
602 BEEMAN CT, COLUMBUS, GA 31907-5128
(706) 393-4975
Mailing address
602 BEEMAN CT, COLUMBUS, GA 31907-5128
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
04/16/2014
Last updated
04/16/2014
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