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Individual

ANDRE D SAPP

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
301 ANDREWS AVE, FORT NOVOSEL, AL 36362, CREDENTIALLING DEPARTMENT, FORT NOVOSEL, AL 36362
(334) 255-7040
Mailing address
2401 W BELVEDERE AVE, CREDENTIALING, BALTIMORE, MD 21215-5216
(410) 601-5523
(410) 601-8946

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
49163
AL
363AS0400X
Surgical Physician Assistant
C0003916
MD

Other

Enumeration date
12/15/2008
Last updated
09/04/2024
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