Individual
MS. ANDREA REGINA MCINTOSH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
5669 PEACHTREE DUNWOODY RD NE, SUITE #210, ATLANTA, GA 30342-1786
(404) 255-4333
(404) 255-0601
Mailing address
1872 MONTREAL RD, TUCKER, GA 30084-5709
(770) 496-9400
(770) 496-9495
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
4520
GA
Other
Enumeration date
01/05/2006
Last updated
05/07/2010
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