Individual
DR. ANDREW L MIDDLETON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
(770) 422-2326
Mailing address
61 WHITCHER ST NE STE 3110, MARIETTA, GA 30060-1179
(770) 422-2326
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
89329
GA
207T00000X
Neurological Surgery Physician
ME133960
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89329
STATE LICENSE
GA
01
—
ME133960
STATE LICENSE
FL
Enumeration date
06/07/2010
Last updated
10/27/2021
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