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Contact Information

ANDREA B DOAK, PAC
1067 PEACHTREE ST
LOUISVILLE, GA30434
 Phone: 478-625-8471
 Fax: 478-625-8477
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for ANDREA B DOAK · (Female)

NPI # 1760420202
Status Active
Credentials PAC
Entity Individual
Enumeration date 06/04/2006
Last updated 11/16/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 002743
  • GA Medicaid 100000139A
  • GA Medicaid 100000139C
  • GA Medicaid 100000140A
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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