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Andrew F Roush, PA
Medical Physician Assistant in Gainesville, Georgia
NPI 1366530610

Andrew F Roush is a Medical Physician Assistant based in Gainesville, GA and is specialized in Medical. Andrew F Roush practices in Gainesville, GA and has the professional credentials of PA. The NPI Number for Andrew F Roush is 1366530610 and holds a License No. 004512 (Georgia).

The current practice location address for Andrew F Roush is 200 Academy Street, Gainesville, GA and can be reached out via phone at 770-282-8820.

Location: 200 Academy Street, Gainesville, GA, 30503-2417
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Provider Profile Details
NPI Number
1366530610
Provider Name
Andrew F Roush
Credential
PA
Provider Entity Type
Individual
Gender
Male
Address
200 Academy Street, Gainesville, GA, 30503-2417
Phone Number
770-282-8820
Fax Number
Provider Enumeration Date
10/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
P00298024 01 GA RAILROAD MEDICARE
581177261A 01 GA MEDICARE GRP PROV #
510962418A 05 GA
510962418K 05 GA
institution
Provider Business Practice Location Address Details
Address
200 Academy Street
City
State
Zip
30501
Phone Number
770-282-8820
Fax Number
person
Provider Business Mailing Address Details
Address
200 Academy Street
City
State
Zip
30501
Phone Number
770-282-8820
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
004512 (Georgia)
Definition
Definition to come...
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