Carlson, Andrew Charles

Carlson, Andrew Charles is an individual health care provider with primary practice located at 2701 Meredyth Dr , Albany GA 31707-2267. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Carlson, Andrew Charles can be contacted via phone (229) 883-7010.

Contact Information

Primary practice address
2701 Meredyth Dr Albany GA 31707-2267
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 034554 Georgia

Profile Details

NPI number 1922059252
LBN Legal business name Carlson, Andrew Charles
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Dec 20th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1922059252 NPPES
Georgia Other 31709A002 TRICARE
Georgia MEDICAID 00466925A TRICARE
Georgia Other 024953 TRICARE
Georgia MEDICAID 000466925B TRICARE

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