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Individual

MR. ERNEST ASHMORE ANDREE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D

Contact information

Practice address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2054
Mailing address
1968 PEACHTREE RD NW, ATLANTA, GA 30309-1281
(404) 605-2054

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
34236
NC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
028679
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
124740991B
GA
01
220023045
RAILROAD MEDICARE
NC
Enumeration date
09/14/2005
Last updated
11/04/2015
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