MEDICARE: DR. ANDREA MORRISON DABNEY M.D., MPH

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
1	207V00000X	Obstetrics & Gynecology Physician	2008-01201	NC
2	207V00000X	Obstetrics & Gynecology Physician	35-092589	OH
3	207V00000X	Obstetrics & Gynecology Physician	66274	GA

General Provider Information

NPI Number	:	1912158288
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ANDREA MORRISON DABNEY M.D., MPH

Provider Business Mailing Address
First Line	:	2199 COLLEGE AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30317-1334
Country	:	US
Telephone Number	:	770-396-2496
Fax Number	:	770-493-6189

Provider Business Practice Location Address
First Line	:	2199 COLLEGE AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30317-1334
Country	:	US
Telephone Number	:	770-396-2496
Fax Number	:	770-493-6189

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2008
Last Update Date	:	07/28/2016

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