Basic Information
| Provider Information | |||||||||
| NPI: | 1376563718 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DOTT | ||||||||
| FirstName: | ANDREW | ||||||||
| MiddleName: | BERWICK | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 993 JOHNSON FERRY RD NE # D | ||||||||
| Address2: | STE 360 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303421620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042501350 | ||||||||
| FaxNumber: | 4042501359 | ||||||||
| Practice Location | |||||||||
| Address1: | 993 JOHNSON FERRY RD NE # D | ||||||||
| Address2: | STE 360 | ||||||||
| City: | ATLANTA | ||||||||
| State: | GA | ||||||||
| PostalCode: | 303421620 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4042501350 | ||||||||
| FaxNumber: | 4042501359 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 07/20/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 0033314 | GA | Y | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
ID Information
| ID | Type | State | Issuer | Description | 597401 | 01 | GA | CIGNA | OTHER | P4060754 | 01 | AETNA | OTHER | 303425 | 01 | GA | WELLCARE MEDICAID | OTHER | 0700440 | 01 | GA | EVERCARE | OTHER | 2287623 | 01 | AETNA | OTHER | 803545 | 01 | GA | BLUE CROSS | OTHER |