Individual
ANDREA RUTH WHITFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.O.
Contact information
Practice address
600 MOYE BLVD, GREENVILLE, NC 27834-4300
(252) 744-4676
(252) 744-8199
Mailing address
PO BOX 751069, CHARLOTTE, NC 28275-1069
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
36098
SC
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
2012-01955
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497982540
—
NC
01
—
19KY4
BCBS OF NC
NC
Enumeration date
06/16/2009
Last updated
03/12/2024
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