# MARK DOUGLAS ANDREWS

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568446920
- **Gender:** Man
- **Credential:** MD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | 26180 | NC | Yes |
| 207QG0300X | Geriatric Medicine (Family Medicine) Physician | 26180 | NC | — |

## Other

- **Enumeration date:** 11/30/2005
- **Last updated:** 03/25/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 11394 | BCBS | — |
| 01 | — | 12189 | PARTNERS | — |
| 05 | — | 5611962 | — | VA |
| 01 | — | 5782567 | AETNA | — |
| 05 | — | 8911394 | — | NC |