Doris, Andrew Terrence

Doris, Andrew Terrence is an individual health care provider with primary practice located at 761 Old Norcross Rd , Lawrenceville GA 30046-4317. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Doris, Andrew Terrence can be contacted via phone (770) 513-4000.

Contact Information

Primary practice address
761 Old Norcross Rd Lawrenceville GA 30046-4317
Fax: (770) 995-3495
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 049005 Georgia

Profile Details

NPI number 1760536312
LBN Legal business name Doris, Andrew Terrence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 2007
Last updated Jan 31st, 2012 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760536312 NPPES
Georgia Other 728963 BLUE CROSS BLUE SHIELD
Georgia Other 00887873A BLUE CROSS BLUE SHIELD
Georgia Other 160054730 BLUE CROSS BLUE SHIELD
Georgia Other 000887873A BLUE CROSS BLUE SHIELD
Georgia MEDICAID 00887873A BLUE CROSS BLUE SHIELD

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