Individual
DR. ANDREW BLAINE OLIVER JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
200 S POST RD, SHELBY, NC 28152-6269
(704) 484-5100
(704) 484-5118
Mailing address
315 E GROVER ST, SHELBY, NC 28150-3919
(704) 484-5100
(704) 484-5220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
27960
NC
207V00000X
Obstetrics & Gynecology Physician
Primary
27960
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
891044A
—
NC
Enumeration date
08/18/2005
Last updated
12/06/2021
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