Individual
DR. ANDREW CRAIG WICKLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
275 COLLIER RD NW, SUITE 500, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983
Mailing address
275 COLLIER RD NW, SUITE 500, ATLANTA, GA 30309-1709
(404) 605-2800
(404) 351-5983
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
047868
GA
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
047868
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
894067378LMNO
—
GA
Enumeration date
05/17/2006
Last updated
09/14/2010
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