Healthcare Provider Details

I. General information

NPI: 1720146665
Provider Name (Legal Business Name): ASA ANDREW MD, DC, ND
Entity Type: Individual
Gender: Male
Sole Proprietor: N

Provider Other Name: ASA ANDREW MD, DC, ND

II. Dates (important events)

Enumeration Date: 12/04/2006
Last Update Date: 06/03/2025
Certification Date: 06/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3906 US HIGHWAY 98 W STE 1302
SANTA ROSA BEACH FL
32459-4026
US

IV. Provider business mailing address

3906 US HIGHWAY 98 W STE 1302
SANTA ROSA BEACH FL
32459-4026
US

V. Phone/Fax

Practice location:
  • Phone: 404-474-4933
  • Fax:
Mailing address:
  • Phone: 404-474-4933
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: