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Andrew Tallman, PA-C

Physician Assistant in Fort George G Meade, MD. Individual provider (NPI-1).

NPI number1942882014
StatusActive
Last updated in NPPESJun 3, 2025

Details

NPI
1942882014
Entity type
Individual (NPI-1)
Name
Andrew Tallman
Credential
PA-C
Sex
Male
Sole proprietor
No
Enumeration date
Apr 27, 2021
Certification date
Jun 3, 2025
Last updated
Jun 3, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant1194836–Yes

Practice location

2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081

Phone 036-963-9427

Mailing address

2480 Llewellyn Ave
Fort George G Meade, MD 20755-7081

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