Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. PHILIP GORDON ANDRE, MD
ActiveDR. PHILIP GORDON ANDRE, MD is a Specialist healthcare provider located in ATOKA, Tennessee. NPI 1619972338 is currently active in the NPPES registry. Verify at CMS.
Specialist · ATOKA, TN
Registration Details
- NPI Number
- 1619972338
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 17, 2005 (21.015653425191 yrs)
- Last Updated
- Jul 9, 2007
- License
-
39028 (TN)
Practice Information
- Address
-
11180 HWY 51 N.STE 3ATOKA, TN, 38004Browse TN providers · Browse ZIP 38004
- Phone
- 9018379910
- Fax
- 9018379914
- Primary Specialty
-
Specialist
174400000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.