Individual
MARK DOUGLAS ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1930 PEACE HAVEN RD, WINSTON SALEM, NC 27106-4817
(336) 716-2255
(336) 760-5367
Mailing address
PO BOX 344, WINSTON SALEM, NC 27102-0344
(336) 716-2255
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
26180
NC
207QG0300X
Geriatric Medicine (Family Medicine) Physician
26180
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11394
BCBS
—
01
—
12189
PARTNERS
—
05
—
5611962
—
VA
01
—
5782567
AETNA
—
05
—
8911394
—
NC
Enumeration date
11/30/2005
Last updated
03/25/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us