Andrew Bradley Reisman MD

NPI 1053391490 - Family Medicine - 207Q00000X

NPI Details
NPI 1053391490
Gender Male
Enumeration Date 01/20/2006
Last Updated 07/19/2011
Entity Type Individual
Active Over 10 years ago
Practice Location
4222 FAIRBANKS DR
OAKWOOD GA, 30566-2811, US
Phone (770) 534-6053
Fax (770) 534-6695
Business Location
PO BOX 658
GAINESVILLE GA, 30503-0658, US
Phone (770) 718-1122
Fax (770) 535-7445
Toxanomy
Taxonomy Code 207Q00000X
License State Georgia
License Number 042406
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According to our database, Andrew Bradley Reisman MD NPI is 1053391490, taxonomy code is 207Q00000X and license number is 042406, license state is located at Georgia. Andrew Bradley Reisman MD physically located at 4222 Fairbanks Dr, Oakwood GA, 30566-2811. NPI Number Andrew Bradley Reisman MD has the Individual type.

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1053391490 NPI number is provided on an as is basis without warranty of any kind. 1053391490 is maintained by the National Plan & Provider Enumeration System. The contents of Andrew Bradley Reisman MD are for informational purposes only.