Dr. Andrew G Cordista
Orthopaedic Spine Surgeon
8 Live Oak Ct
Moultrie
, Georgia 31768-6783
Dr. Andrew G Cordista
Orthopaedic Spine Surgeon
8 Live Oak Ct
Moultrie
, Georgia 31768-6783
(229) 890-6621
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About
Features
Specialties
- Orthopaedic Spine Surgeon
Languages spoken
- English
Location
First Address
- Dr. Andrew G Cordista
- 8 Live Oak Ct
- Moultrie, GA
- Zip : 31768-6783
- Fax : (229) 890-6621
- Phone : (229) 890-6612
Second Address
- Dr. Andrew G Cordista
- 8 Live Oak Ct
- Moultrie, GA
- Zip : 31768-6783
- Fax : (229) 890-6621
- Phone : (229) 890-6612
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207XS0117X | Orthopaedic Spine Surgeon | 051451 | GA |
National Provider Identifier
| NPI | 1295745081 |
|---|---|
| Provider Name | Dr. Andrew G Cordista |
| First Address | Moultrie, GA 31768-6783 |
| Second Address | Moultrie, GA 31768-6783 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/08/2006 |
| Last Update Date | 16/12/2015 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 000921522B | (05) | GA |
| H49977 | (02) | GA |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.