Individual provider · NPI-1
Angela Andrews, PA-C, ATC
Physician Assistant · Atlanta, GA
NPI number1790014918
StatusActive
Last updated in NPPESAug 30, 2025
Details
- NPI
- 1790014918
- Entity type
- Individual (NPI-1)
- Name
- Angela Andrews
- Credential
- PA-C, ATC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Dec 17, 2009
- Certification date
- Aug 30, 2025
- Last updated
- Aug 30, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | AT001711 | GA |
Practice location
1462 Clifton Rd Ne Ste 280Atlanta, GA 30322-8536
Phone 404-727-2383 · Fax 404-727-7836
Mailing address
1462 Clifton Rd Ne Ste 280Atlanta, GA 30322-1063
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