Individual
ANDREW W SISK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D., F.A.C.S.
Contact information
Practice address
1223 TROTWOOD AVE, COLUMBIA, TN 38401-4854
(931) 381-4976
(931) 388-0600
Mailing address
PO BOX 317, COLUMBIA, TN 38402-0317
(931) 381-4976
(931) 388-0600
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
7326
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0020839
BLUE CROSS BLUE SHIELD TN
TN
05
—
3173905
—
TN
Enumeration date
10/25/2006
Last updated
09/09/2010
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