Individual
DR. JOHN EDWARD ANDRULOT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1514 VERNON RD, LAGRANGE, GA 30240-4131
(706) 845-3175
Mailing address
290 CASA GRANDE LN, SANTA ROSA BEACH, FL 32459-3163
(850) 622-0855
(850) 622-0855
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
050938
GA
Other
Enumeration date
03/02/2007
Last updated
07/08/2007
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