Individual
MR. ANDREW BORDELON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
6600 VAN AALST BLVD BLDG 9250, FORT MOORE, GA 31905-2102
(850) 885-2174
Mailing address
650 JOEL DR, FORT CAMPBELL, KY 42223-5318
(270) 798-8400
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1133017
FL
363A00000X
Physician Assistant
1133017
KY
Other
Enumeration date
03/11/2016
Last updated
01/10/2024
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