Search › Georgia › 363A00000X
Andrew Bordelon, PA-C
NPI 1639530199 · on the registry since 2016 · sole proprietor
Practice
- Address
- 6600 Van Aalst Blvd Bldg 9250
Fort Moore, GA 31905 - Phone
- (850) 885-2174
- Clinicians at this address
- 153
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Also registered as
- 363A00000X
- Licence states on file
- KY, FL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-01-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Georgia