Individual
ANDREW DYLAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8917
(404) 303-3636
Mailing address
1000 JOHNSON FERRY RD, ATLANTA, GA 30342-1606
(404) 851-8917
(404) 303-3636
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
94965
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/21/2019
Last updated
05/12/2023
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