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NPI Code Detail

MEDICARE: DR. ANDREA HARNER KOVACIC MD

MEDICARE: DR. ANDREA HARNER KOVACIC MD
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
1207Q00000XFamily Medicine Physician55833GA

General Provider Information

NPI Number : 1982740726
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANDREA HARNER KOVACIC MD
Provider Business Mailing Address
First Line : PO BOX 12938
Second Line : C/O CLINIC MANAGEMENT
City : CALHOUN
State : GA
Zip : 30703
Country : US
Telephone Number : 706-602-7800
Fax Number :
Provider Business Practice Location Address
First Line : 21 COMMERCE PKWY
Second Line :
City : ADAIRSVILLE
State : GA
Zip : 30103-2009
Country : US
Telephone Number : 770-773-9201
Fax Number : 770-773-9219
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2007
Last Update Date : 09/10/2020

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