NPI Profile for EZKIEL O ANDREWS in DECATUR, GA.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Mental Health |
101YM0800X | |||
Addiction (Substance Use Disorder) |
101YA0400X |
| NPI Number | 1366964868 |
|
| Status | Active | |
| Credentials | CAC | |
| Entity | Individual | |
| Enumeration date | 07/17/2017 | |
| Last updated | 01/06/2025 - More than a year ago | |
| Sole proprietor 1 | Yes | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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EZKIEL O ANDREWS
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