Doak, Andrea Byrd

Doak, Andrea Byrd is an individual health care provider with primary practice located at 1067 Peachtree St , Louisville GA 30434. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Doak, Andrea Byrd can be contacted via phone (478) 625-8471.

Contact Information

Primary practice address
1067 Peachtree St Louisville GA 30434
Phone: (478) 625-8471
Fax: (478) 625-8477
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 002743 Georgia

Profile Details

NPI number 1760420202
LBN Legal business name Doak, Andrea Byrd
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 4th, 2006
Last updated Nov 16th, 2018 - about 8 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 1760420202 NPPES
Georgia MEDICAID 100000139C
Georgia MEDICAID 100000139A
Georgia MEDICAID 100000140A

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