Healthcare Provider Details

I. General information

NPI: 1063498756
Provider Name (Legal Business Name): ANDREW A. KRAMER MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/15/2005
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 J L WHITE DR STE 110
JASPER GA
30143-4894
US

IV. Provider business mailing address

1600 MEDICAL WAY SUITE 220
SNELLVILLE GA
30078-2166
US

V. Phone/Fax

Practice location:
  • Phone: 706-253-2430
  • Fax:
Mailing address:
  • Phone: 770-972-7999
  • Fax: 770-972-9528

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License Number58795
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: