Individual
MRS. ANDREA M GEORGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
105 VEST MILL CIR, WINSTON SALEM, NC 27103-2943
(336) 718-7800
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 718-7800
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-03142
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8102371
—
NC
Enumeration date
01/06/2010
Last updated
03/22/2016
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