Individual
ANDREA VARGAS O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
1930 BOBBY JONES DR, JOHNS CREEK, GA 30097-2402
(404) 931-7248
(404) 920-2154
Mailing address
4261 FLIPPEN TRL, NORCROSS, GA 30092-3927
(404) 931-7248
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT008107
GA
225100000X
Physical Therapist
PT26941
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200801
BCBS GA
GA
05
—
220541280A
—
GA
Enumeration date
06/02/2006
Last updated
10/01/2021
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