Provider Demographics
NPI:1912158288
Name:DABNEY, ANDREA MORRISON (MD, MPH)
Entity Type:Individual
Prefix:DR
First Name:ANDREA
Middle Name:MORRISON
Last Name:DABNEY
Suffix:
Gender:F
Credentials:MD, MPH
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2199 COLLEGE AVE NE
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30317-1334
Mailing Address - Country:US
Mailing Address - Phone:770-396-2496
Mailing Address - Fax:770-493-6189
Practice Address - Street 1:2199 COLLEGE AVE NE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30317-1334
Practice Address - Country:US
Practice Address - Phone:770-396-2496
Practice Address - Fax:770-493-6189
Is Sole Proprietor?:No
Enumeration Date:2008-10-06
Last Update Date:2016-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2008-01201207V00000X
OH35-092589207V00000X
GA66274207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA202I160851Medicare PIN
GA003110867AMedicaid
OH7392631Medicare PIN
OH2929193Medicaid
OH4309731Medicare PIN