Individual
MR. JAMIE MICHAEL ANDREWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
12611 N COMMUNITY HOUSE RD STE 100, CHARLOTTE, NC 28277-3817
(704) 316-3410
(704) 316-3420
Mailing address
PO BOX 60447, CHARLOTTE, NC 28260-0447
(704) 316-3410
(704) 316-3420
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0010-05386
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003108911A
—
GA
05
—
1170PA
—
SC
01
—
594836
WELLCARE
GA
01
—
P00936220
RR MEDICARE
GA
Enumeration date
04/15/2011
Last updated
07/24/2023
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