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Individual

DR. ANDREW LOUIS SEIBERT

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
600 PROFESSIONAL DR, STE 140, LAWRENCEVILLE, GA 30045-7651
(770) 995-7989
(770) 277-2930
Mailing address
600 PROFESSIONAL DR, STE 140, LAWRENCEVILLE, GA 30045-7651
(770) 995-7989
(770) 277-2930

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
037366
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
29-06972
UNITED HEALTHCARE
GA
01
4229235
MANAGE CARE
GA
01
5208
PROMINA
GA
01
52451836
BLUE CROSS BLUE SHIELD
GA
01
5466575003
CIGNA PPO
GA
01
582061514001
PRUDENTIAL
GA
Enumeration date
09/06/2005
Last updated
07/08/2007
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