Provider Demographics
NPI:1225295215
Name:ANDREWS, ALICIA C (DO)
Entity Type:Individual
Prefix:DR
First Name:ALICIA
Middle Name:C
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:DO
Other - Prefix:MS
Other - First Name:ALICIA
Other - Middle Name:KATHRYN
Other - Last Name:COOPER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:975 E 3RD ST
Mailing Address - Street 2:ATTN: PROVIDER ENROLLMENT
Mailing Address - City:CHATTANOOGA
Mailing Address - State:TN
Mailing Address - Zip Code:37403-2147
Mailing Address - Country:US
Mailing Address - Phone:423-778-6575
Mailing Address - Fax:423-778-7033
Practice Address - Street 1:910 BLACKFORD ST
Practice Address - Street 2:
Practice Address - City:CHATTANOOGA
Practice Address - State:TN
Practice Address - Zip Code:37403-1405
Practice Address - Country:US
Practice Address - Phone:423-778-6575
Practice Address - Fax:423-778-7033
Is Sole Proprietor?:No
Enumeration Date:2008-05-19
Last Update Date:2016-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN22792080P0206X
TN2779208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2080P0206XAllopathic & Osteopathic PhysiciansPediatricsPediatric Gastroenterology
No208000000XAllopathic & Osteopathic PhysiciansPediatrics