Individual
DR. ANDREA JENKE PFEIFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
580 BLUERIDGE DRIVE, EVANS, GA 30809-4556
(706) 364-8501
(706) 364-8503
Mailing address
736 ROCKY BRANCH LN, EVANS, GA 30809-5600
(706) 863-1768
(706) 364-8503
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
49546
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000919432B
—
GA
Enumeration date
06/30/2006
Last updated
01/31/2012
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