Individual
VICTOR J ANDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
380 HOSPITAL DR, STE 320, MACON, GA 31217-8001
(478) 742-5331
(478) 750-1387
Mailing address
380 HOSPITAL DR, STE 320, MACON, GA 31217-8001
(478) 742-5331
(478) 750-1387
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
058940
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL8455
RR MEDICARE GR #
GA
Enumeration date
02/26/2007
Last updated
10/18/2007
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