| Doctor Name: | MS. ANDREA M DELOACH |
| NPI Number: | 1114007044 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP-C |
| License Number: | RN072616 |
| Business Practice Address: | 711 Knight Ave Waycross, GA - 315011943 |
| Business Phone Number: | 9122839423 |
| Business Fax Number: | 9122838204 |
| Mailing Address: | 711 Knight Ave, WAYCROSS |
| State: | GA |
| Postal Code: | 315011943 |
| Phone Number: | 9122839423 |
| Fax Number: | 9122838204 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 05/26/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LW0102X |
| License Number: | RN072616 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Women's Health |
| Taxonomy Definition: | |