Individual
ANDREW CHARLES CARLSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 883-7010
Mailing address
2701 MEREDYTH DR, ALBANY, GA 31707-2267
(229) 883-7010
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
034554
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000466925B
—
GA
05
—
00466925A
—
GA
01
—
024953
BLUE CROSS BLUE SHEILD
GA
01
—
31709A002
TRICARE
GA
Enumeration date
05/12/2006
Last updated
12/20/2022
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