Individual
DR. ANDREW P HARAKAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
601-A PROFESSIONAL DRIVE, SUITE 130, LAWRENCEVILLE, GA 30046
(678) 551-7800
(678) 551-7802
Mailing address
PO BOX 150, WATKINSVILLE, GA 30677-0004
(678) 551-7800
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
32393
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003149135A
—
GA
01
—
17050342085
MEDICARE
VA
05
—
17050342085
—
VA
01
—
202I206610
MEDICARE PTAN
GA
Enumeration date
03/28/2006
Last updated
04/26/2026
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