Philip Gordon Andre in Atoka - Specialist
Philip Gordon Andre - NPI 1619972338
Philip Gordon Andre is a Specialist in Atoka, Tennessee. Philip Gordon Andre practices all healthcare services and medical treatments related to Specialist. The NPI Number for Philip Gordon Andre is 1619972338. The last update date is 2007-07-09.
Philip Gordon Andre's current location address is 11180 Hwy 51 N., Atoka, Tennessee. You can contact this provider via phone number 9018379910 and fax number 9018379914. The mailing address for Philip Gordon Andre is 11180 Hwy 51 N., Atoka, Tennessee. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Philip Gordon Andre |
|---|---|
| Address | 11180 Hwy 51 N., Atoka, Tennessee |
| Phone Number | 9018379910 |
| Fax Number | 9018379914 |
| Sole Proprietor | X |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1619972338 |
|---|---|
| Provider Enumeration Date | 2005-06-17 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 11180 Hwy 51 N. |
|---|---|
| City | Atoka |
| State | Tennessee (TN) |
| Post Code | 380040 |
| Phone Number | 9018379910 |
| Fax Number | 9018379914 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 39028 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 3717404 | TN | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Philip Gordon Andre?
The Philip Gordon Andre has been issued the NPI (National Provider Identifier) 1619972338 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical address where Philip Gordon Andre is geographically located?
The Philip Gordon Andre is physically situated at the following location: 11180 Hwy 51 N., Atoka, TN, 380040.
What is the Philip Gordon Andre's specialty and taxonomy code?
The Philip Gordon Andre's specialty is Specialist, and the corresponding taxonomy code is 174400000X.
When did the Philip Gordon Andre receive its 1619972338?
The Philip Gordon Andre was issued its 1619972338 on 2005-06-17, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Philip Gordon Andre most recently updated or revised?
The information pertaining to Philip Gordon Andre, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.