Provider Demographics
NPI:1376586149
Name:MCCULLOUGH-HLOBIK, ANDREA (DO)
Entity Type:Individual
Prefix:MS
First Name:ANDREA
Middle Name:
Last Name:MCCULLOUGH-HLOBIK
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:9570 NESBIT FERRY RD STE 201
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30022-6859
Mailing Address - Country:US
Mailing Address - Phone:770-640-8119
Mailing Address - Fax:770-988-5553
Practice Address - Street 1:9570 NESBIT FERRY RD STE 201
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30022-6859
Practice Address - Country:US
Practice Address - Phone:770-640-8119
Practice Address - Fax:770-988-5553
Is Sole Proprietor?:No
Enumeration Date:2006-06-13
Last Update Date:2020-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS013635208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics