Provider Demographics
NPI:1811951379
Name:ANDREWS, NOREEN H (MD)
Entity type:Individual
Prefix:
First Name:NOREEN
Middle Name:H
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NOREEN
Other - Middle Name:
Other - Last Name:HOGANS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:1805 HONEY CREEK COMMONS SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-5830
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1805 HONEY CREEK COMMONS SE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-5830
Practice Address - Country:US
Practice Address - Phone:770-761-0501
Practice Address - Fax:770-761-0509
Is Sole Proprietor?:No
Enumeration Date:2006-04-13
Last Update Date:2017-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA046861207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00818738EMedicaid
GA08BBVHKMedicare ID - Type Unspecified
GA00818738EMedicaid