Individual
ANDREA WELTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.A.-C.
Contact information
Practice address
55 CARLTON ST, ATHENS, GA 30602-1503
(706) 542-8621
(706) 583-0217
Mailing address
55 CARLTON ST, ATHENS, GA 30602-1503
(404) 556-3193
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002611
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002611
PHYSICIAN ASSISTANT LIC.
GA
Enumeration date
03/09/2007
Last updated
03/05/2014
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