Provider Demographics
NPI:1942447446
Name:CASS, ANDREA DAWN (DPM)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:DAWN
Last Name:CASS
Suffix:
Gender:F
Credentials:DPM
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Mailing Address - Street 1:900 CIRCLE 75 PKWY.
Mailing Address - Street 2:STE. 900
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30339-3084
Mailing Address - Country:US
Mailing Address - Phone:678-426-2171
Mailing Address - Fax:404-446-1957
Practice Address - Street 1:3200 HIGHLANDS PARKWAY
Practice Address - Street 2:SUITE 100
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-5196
Practice Address - Country:US
Practice Address - Phone:770-319-5502
Practice Address - Fax:404-481-4452
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-21
Last Update Date:2018-10-15
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Provider Licenses
StateLicense IDTaxonomies
GAPOD001082213ES0103X, 213E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes213E00000XPodiatric Medicine & Surgery Service ProvidersPodiatrist
No213ES0103XPodiatric Medicine & Surgery Service ProvidersPodiatristFoot & Ankle Surgery