License holder summary

DEFAZIO, ANDREW LAURENCE, MD is a Medical - Physician licensed to practice in Georgia. The address on file for DEFAZIO, ANDREW LAURENCE, MD is 5555 PEACHTREE-DUNDWOODY RD NE | SUITE 276, Atlanta 30342. This doctor license is not current. The license was granted 05/02/2003 and expired on 12/31/2005.

Georgia

Composite Medical Board

DEFAZIO, ANDREW LAURENCE, MD
Medical - Physician
License number
052915
Date granted
05/02/2003
Date expires
12/31/2005
Class
Medical - Physician
Status
Lapsed
Address
5555 PEACHTREE-DUNDWOODY RD NE | SUITE 276
georgiadoctors.net
ID 38037986
LAST UPDATED 2024-04-11 09:17:47 UTC

This website is unaffiliated with the Composite Medical Board. Please verify all information directly with the relevant official government authority.

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