Deloach, Andrea M

Deloach, Andrea M is an individual health care provider with primary practice located at 711 Knight Ave , Waycross GA 31501-1943. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Deloach, Andrea M can be contacted via phone (912) 283-9423.

Contact Information

Primary practice address
711 Knight Ave Waycross GA 31501-1943
Phone: (912) 283-9423
Fax: (912) 283-2946
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X RN072616 Georgia
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X RN072616 Georgia

Profile Details

NPI number 1114007044
LBN Legal business name Deloach, Andrea M
Credentials FNP-C
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 16th, 2006
Last updated Jun 11th, 2021 - about 3 years ago

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 1114007044 NPPES
Georgia MEDICAID 00560381B
Georgia Other 1114007044
Georgia Other CG6045

Popular Providers