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NPI Code Detail

MEDICARE: AUBREY ANDREWS

MEDICARE: AUBREY ANDREWS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1208100000XPhysical Medicine & Rehabilitation PhysicianPTA004108GA

General Provider Information

NPI Number : 1578031514
Entity Type Code : Individual
Provider Name (Legal Business Name) : AUBREY ANDREWS
Provider Business Mailing Address
First Line : 1454 COUNTY ROAD 249
Second Line :
City : LIVE OAK
State : FL
Zip : 32060-8038
Country : US
Telephone Number : 386-249-2797
Fax Number :
Provider Business Practice Location Address
First Line : 1901 W SCREVEN ST
Second Line :
City : QUITMAN
State : GA
Zip : 31643-3913
Country : US
Telephone Number : 229-263-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2018
Last Update Date : 11/07/2018

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Directions to “ AUBREY ANDREWS ” Practice Location

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