Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208200000X | Surgeon | 5516 | GA |
N | 208600000X | Surgeon | 5516 | GA |
N | 208200000X | Surgeon | 78181 | GA |
N | 208600000X | Surgeon | 78181 | GA |
Y | 2086S0102X | Surgical Critical Care | 78181 | GA |
N | 2086S0127X | Trauma Surgeon | 78181 | GA |
NPI | 1073877908 |
---|---|
Provider Name | Dr. Andrew Lawson |
First Address | Augusta, GA 30912-0004 |
Second Address | Augusta, GA 30912-0004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2012 |
Last Update Date | 09/08/2021 |