Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207X00000X | Orthopaedic Surgeon | 76442 | GA |
N | 207X00000X | Orthopaedic Surgeon | MD452869 | PA |
Y | 207XS0117X | Orthopaedic Spine Surgeon | 76442 | GA |
NPI | 1396063640 |
---|---|
Provider Name | Andrew H Milby |
First Address | Smyrna, GA 30080-8504 |
Second Address | Smyrna, GA 30080-8504 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/05/2010 |
Last Update Date | 10/02/2021 |