Andrew W. Sisk, MD, Facs

Organization Active NPI Surgery Physician · Columbia, TN

NPI 1275723595 · NPPES record last updated Jan 28, 2008

Key facts

NPI
1275723595
Entity type
Organization (NPI type 2)
Primary specialty
Surgery Physician 208600000X
License
007326 (TN)
Legal business name
ANDREW W. SISK, MD, FACS
Practice address
1223 Trotwood Ave
Columbia, TN 38401-4854
Phone
(931) 381-4976
Fax
(931) 388-0600
NPI assigned
Aug 1, 2007
Organization subpart
No

Authorized official

Name
Dr. Andrew W. Sisk, M.D.
Title
Owner
Phone
(931) 381-4976

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

107 Berrywood Dr
Columbia, TN 38401
Phone (931) 381-4976

1223 Trotwood Ave
Columbia, TN 38401
Phone (931) 381-4976

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician
Group: 193400000X SINGLE SPECIALTY GROUP
208600000X 007326 TN Yes

Addresses

Primary practice location

1223 Trotwood Ave
Columbia, TN 38401-4854

Mailing address

PO Box 317
Columbia, TN 38402-0317
Phone (931) 381-4976

Other identifiers

IdentifierTypeStateIssuer
0020839OtherTNBLUE CROSS OF TENNESSEE

Other providers in Columbia, TN

All providers in Columbia, TN · Surgery Physician in Tennessee

Sources for this page

Verify at the official NPI Registry.