Provider Demographics
NPI:1245849983
Name:ANDREWS, REBECCA MCMULLAN (NP)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:MCMULLAN
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:REBECCA
Other - Middle Name:PAULA
Other - Last Name:MCMULLAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NP
Mailing Address - Street 1:141 HADDEN HALL DR
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31210-6101
Mailing Address - Country:US
Mailing Address - Phone:478-394-3685
Mailing Address - Fax:478-254-7350
Practice Address - Street 1:890 2ND ST STE 201
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-6863
Practice Address - Country:US
Practice Address - Phone:478-745-4322
Practice Address - Fax:478-750-8789
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARN224059363L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner