Cordista, Andrew G

Cordista, Andrew G is an sole proprietor health care provider with primary practice located at 8 Live Oak Ct , Moultrie GA 31768-6783. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine, which is considered as his primary health care specialty. Cordista, Andrew G can be contacted via phone (229) 890-6612.

Contact Information

Primary practice address
8 Live Oak Ct Moultrie GA 31768-6783
Fax: (229) 890-6621
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery of the Spine 207XS0117X 051451 Georgia

Profile Details

NPI number 1295745081
LBN Legal business name Cordista, Andrew G
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 8th, 2006
Last updated Jul 28th, 2023 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1295745081 NPPES
Georgia MEDICAID 000921522B

Popular Providers