Provider Demographics
NPI:1699110429
Name:SUESS, ANDREW TYLER (PA)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:TYLER
Last Name:SUESS
Suffix:
Gender:M
Credentials:PA
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Mailing Address - Street 1:210 E DERENNE AVE
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31405-6736
Mailing Address - Country:US
Mailing Address - Phone:912-644-5300
Mailing Address - Fax:912-644-5260
Practice Address - Street 1:680 GUZZI LN STE 102
Practice Address - Street 2:
Practice Address - City:SONORA
Practice Address - State:CA
Practice Address - Zip Code:95370-5288
Practice Address - Country:US
Practice Address - Phone:209-536-5780
Practice Address - Fax:912-644-5260
Is Sole Proprietor?:No
Enumeration Date:2013-05-07
Last Update Date:2020-11-05
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AS0400XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantSurgical