Individual
ANDREW T. PICKENS IV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2008-00003
NC
207P00000X
Emergency Medicine Physician
320799
NY
207P00000X
Emergency Medicine Physician
Primary
61664
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5909865
—
NC
Enumeration date
05/02/2007
Last updated
04/28/2025
Update your record
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