Provider Demographics
NPI:1396063640
Name:MILBY, ANDREW H (MD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:H
Last Name:MILBY
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:3903 S COBB DR SE
Mailing Address - Street 2:
Mailing Address - City:SMYRNA
Mailing Address - State:GA
Mailing Address - Zip Code:30080-8504
Mailing Address - Country:US
Mailing Address - Phone:404-778-3350
Mailing Address - Fax:404-778-6548
Practice Address - Street 1:3903 S COBB DR SE
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-8504
Practice Address - Country:US
Practice Address - Phone:404-778-3350
Practice Address - Fax:404-778-6548
Is Sole Proprietor?:No
Enumeration Date:2010-05-12
Last Update Date:2021-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD452869207X00000X
GA76442207X00000X, 207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine
No207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery