Individual
ANDREW F EARLE-RICHARDSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2200 PEACHTREE RD NW, ATLANTA, GA 30309-1110
(404) 778-0118
(404) 351-7762
Mailing address
2200 PEACHTREE RD NW, ATLANTA, GA 30309-1110
(404) 778-0118
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9039
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02147208
—
NY
Enumeration date
05/17/2006
Last updated
12/31/2019
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