Individual
ANDREW HEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
950 15TH ST, AUGUSTA, GA 30901-2608
(706) 564-8393
Mailing address
4723 RHETT DR, EVANS, GA 30809-3274
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
LD004576
GA
Other
Enumeration date
08/08/2017
Last updated
08/08/2017
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