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Contact Information

ANDREW M BUCKELEW, DO
1001 JOHNSON FERRY RD
ATLANTA, GA30342-1605
 Phone: 678-344-1960
 Fax: 404-785-9168
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Emergency Medicine

2080P0204X 37 Physician/Pediatric Medicine
 

Pediatrics

208000000X 37 Physician/Pediatric Medicine
Indicates primary specialty

NPI Profile & details for ANDREW M BUCKELEW · (Male)

NPI Number 1801355607
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 03/19/2019
Last updated 06/06/2025 - About 12 months ago
Sole proprietor 1 No
Identifiers
  • FL License # OS18983
  • GA License # 99101
  • MS License # 30451
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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