Individual
ANDREW BOARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
8455 HIGHWAY 85 BLDG 200, RIVERDALE, GA 30274-5115
(619) 708-7768
Mailing address
9898 VISTA CIR, UNION CITY, GA 30291-6022
(619) 708-7768
Taxonomy
Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
CN0030089690
GA
Other
Enumeration date
03/10/2025
Last updated
03/10/2025
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