Provider Demographics
NPI:1376563718
Name:DOTT, ANDREW BERWICK (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:BERWICK
Last Name:DOTT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:993 JOHNSON FERRY RD NE # D
Mailing Address - Street 2:STE 360
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30342-1620
Mailing Address - Country:US
Mailing Address - Phone:404-250-1350
Mailing Address - Fax:404-250-1359
Practice Address - Street 1:993 JOHNSON FERRY RD NE # D
Practice Address - Street 2:STE 360
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30342-1620
Practice Address - Country:US
Practice Address - Phone:404-250-1350
Practice Address - Fax:404-250-1359
Is Sole Proprietor?:No
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0033314207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA597401OtherCIGNA
P4060754OtherAETNA
GA303425OtherWELLCARE MEDICAID
GA0700440OtherEVERCARE
2287623OtherAETNA
GA803545OtherBLUE CROSS
GA303425OtherWELLCARE MEDICAID
16BDTGQMedicare ID - Type Unspecified