Individual
DR. ERIC C ANDRIST
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
705 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180-1247
(770) 459-0408
(770) 459-1575
Mailing address
705 DALLAS HWY, SUITE 301, VILLA RICA, GA 30180-1247
(770) 459-0408
(770) 459-1575
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
056087
GA
Other
Enumeration date
02/09/2006
Last updated
07/08/2007
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