Andrea Moore Jost, P.A.
Physician Assistant, Surgical in Birmingham, AL. Individual provider (NPI-1).
NPI number1457453052
StatusActive
Last updated in NPPESJan 13, 2014
Details
- NPI
- 1457453052
- Entity type
- Individual (NPI-1)
- Name
- Ms. Andrea Moore Jost
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 2, 2006
- Last updated
- Jan 13, 2014
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | PA-482 | AL | Yes |
Other names
- Andrea Blair Moore (Former Name)
Practice location
4517 Southlake PkwySuite 202
Birmingham, AL 35244-3280
Phone 205-985-4111 · Fax 205-985-4326
Mailing address
Po Box 830791Birmingham, AL 35283-0791
Phone 205-985-4111 · Fax 205-985-4326
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All 64 Surgical Physician Assistant providers in Birmingham · All 18,836 providers in Birmingham
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