Provider Demographics
NPI:1720146665
Name:ANDREW, ASA (MD, DC, ND)
Entity type:Individual
Prefix:DR
First Name:ASA
Middle Name:
Last Name:ANDREW
Suffix:
Gender:M
Credentials:MD, DC, ND
Other - Prefix:DR
Other - First Name:ASA
Other - Middle Name:
Other - Last Name:ANDREW
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD, DC, ND
Mailing Address - Street 1:3906 US HIGHWAY 98 W STE 1302
Mailing Address - Street 2:
Mailing Address - City:SANTA ROSA BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:32459-4026
Mailing Address - Country:US
Mailing Address - Phone:404-474-4933
Mailing Address - Fax:
Practice Address - Street 1:3906 US HIGHWAY 98 W STE 1302
Practice Address - Street 2:
Practice Address - City:SANTA ROSA BEACH
Practice Address - State:FL
Practice Address - Zip Code:32459-4026
Practice Address - Country:US
Practice Address - Phone:404-474-4933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-04
Last Update Date:2025-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174H00000XOther Service ProvidersHealth Educator