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MRS. ANDREA ANDERSON

Prosthetics Case Management >> Specialist >> Other Service Providers

Registrant NPI Number: 1508353673

Individual Registrant:
MRS. ANDREA  ANDERSON 
Gender: F
Sole Proprietor

Location and contact information for practice:
5437A MEMORIAL DR  STONE MOUNTAIN, GA 30083-3213 US
Tel: 678-515-7523  Fax: --

Contact information for business:
5437A MEMORIAL DR  STONE MOUNTAIN, GA 30083-3213 US
Tel: 678-515-7523  Fax: --

Registration Information:
NPI: 1508353673
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y1744P3200XOther Service Providers
Specialist
Prosthetics Case Management

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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