Individual
ANDREW CLIFFORD PINKERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1915 W PARK DR, SUITE 103, NORTH WILKESBORO, NC 28659-3511
(336) 838-9553
(336) 838-9563
Mailing address
1915 W PARK DR, SUITE 103, NORTH WILKESBORO, NC 28659-3511
(336) 838-9553
(336) 838-9563
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
102623
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2335816
MEDICARE PTAN, GROUP WPN
NC
01
—
NC2753A
MEDICARE INDIVIDUAL, FOR WPN
NC
Enumeration date
03/27/2007
Last updated
11/29/2011
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