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Dr. Philip Gordon Andre, MD
Specialist in Atoka, Tennessee
NPI 1619972338

Philip Gordon Andre is a Specialist based in Atoka, TN. Philip Gordon Andre practices in Atoka, TN and has the professional credentials of MD. The NPI Number for Philip Gordon Andre is 1619972338 and holds a License No. 39028 (Tennessee).

The current practice location address for Philip Gordon Andre is 11180 Hwy 51 N., Atoka, TN and can be reached out via phone at 901-837-9910 and via fax at 901-837-9914.

Location: 11180 Hwy 51 N., Atoka, TN, 38004
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1619972338
Provider Name
Philip Gordon Andre
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
11180 Hwy 51 N., Atoka, TN, 38004
Phone Number
901-837-9910
Fax Number
901-837-9914
Provider Enumeration Date
06/17/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
3717404 05 TN
institution
Provider Business Practice Location Address Details
Address
11180 Hwy 51 N.
City
Atoka
State
Tennessee
Zip
38004
Phone Number
901-837-9910
Fax Number
901-837-9914
person
Provider Business Mailing Address Details
Address
11180 Hwy 51 N.
City
Atoka
State
Tennessee
Zip
38004
Phone Number
901-837-9910
Fax Number
901-837-9914
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
39028 (Tennessee)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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