Individual
ANDY MATTHEW ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-A, AA-C
Contact information
Practice address
1199 PRINCE AVE, ATHENS, GA 30606-2797
(706) 475-3321
Mailing address
2800 CRANE MILL RD, ALTO, GA 30510-3621
(706) 968-4610
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
726
GA
Other
Enumeration date
09/15/2006
Last updated
10/18/2013
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