Provider Demographics
NPI:1023870557
Name:TOWNSEND, ANDREW WILSON (DC)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:WILSON
Last Name:TOWNSEND
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1115 CONE AVE
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32401-2983
Mailing Address - Country:US
Mailing Address - Phone:205-485-3760
Mailing Address - Fax:
Practice Address - Street 1:1115 CONE AVE
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32401-2983
Practice Address - Country:US
Practice Address - Phone:205-485-3760
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-30
Last Update Date:2024-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH14144111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor