Individual
DR. CAMILLE LEE ANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
4443 JESSUP GROVE RD, GREENSBORO, NC 27410-9934
(336) 663-4600
Mailing address
PO BOX 751803, CHARLOTTE, NC 28275-1803
(336) 996-2173
(336) 996-3254
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
64251
NC
207Q00000X
Family Medicine Physician
Primary
9701220
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1160G
BCBSNC
NC
01
—
28689
PARTNERS MEDICARE
NC
01
—
5718773
AETNA
NC
01
—
71483
MEDCOST
NC
05
—
891160G
—
NC
Enumeration date
05/04/2006
Last updated
08/10/2021
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