Provider Demographics
NPI:1548691389
Name:PAAL, ANDREA (MS, GC)
Entity type:Individual
Prefix:
First Name:ANDREA
Middle Name:
Last Name:PAAL
Suffix:
Gender:F
Credentials:MS, GC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:320 KENNESTONE HOSPITAL BLVD
Mailing Address - Street 2:STE 107
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30060-1161
Mailing Address - Country:US
Mailing Address - Phone:770-793-7472
Mailing Address - Fax:678-331-6943
Practice Address - Street 1:320 KENNESTONE HOSPITAL BLVD
Practice Address - Street 2:STE 107
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30060-1161
Practice Address - Country:US
Practice Address - Phone:770-793-7472
Practice Address - Fax:678-331-6943
Is Sole Proprietor?:No
Enumeration Date:2013-12-04
Last Update Date:2013-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS