Individual
ANDREW MADISON BUCKELEW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1001 JOHNSON FERRY RD, ATLANTA, GA 30342-1605
(678) 344-1960
(404) 785-9168
Mailing address
1001 JOHNSON FY RD NE, ATLANTA, GA 30342-1605
(678) 344-1960
(404) 907-4257
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
30451
MS
208000000X
Pediatrics Physician
99101
GA
208000000X
Pediatrics Physician
OS18983
FL
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
99101
GA
Other
Enumeration date
03/19/2019
Last updated
06/06/2025
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