Provider Demographics
NPI:1518001882
Name:GIORGADZE, ANDRO (MD)
Entity Type:Individual
Prefix:
First Name:ANDRO
Middle Name:
Last Name:GIORGADZE
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4015 S COBB DR SE
Mailing Address - Street 2:SUITE 120
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-6303
Mailing Address - Country:US
Mailing Address - Phone:678-701-7725
Mailing Address - Fax:404-855-3924
Practice Address - Street 1:4015 S COBB DR SE
Practice Address - Street 2:SUITE 120
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-6303
Practice Address - Country:US
Practice Address - Phone:678-701-7725
Practice Address - Fax:404-855-3924
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-19
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA0535322084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry