Provider Demographics
NPI:1174694244
Name:ANDREWS, RAYNON ANTOINE (MD)
Entity type:Individual
Prefix:
First Name:RAYNON
Middle Name:ANTOINE
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6971 RESEARCH PARK BLVD NW
Mailing Address - Street 2:STE A
Mailing Address - City:HUNTSVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:35806-3027
Mailing Address - Country:US
Mailing Address - Phone:256-851-8433
Mailing Address - Fax:
Practice Address - Street 1:6971 RESEARCH PARK BLVD NW
Practice Address - Street 2:STE A
Practice Address - City:HUNTSVILLE
Practice Address - State:AL
Practice Address - Zip Code:35806-3027
Practice Address - Country:US
Practice Address - Phone:256-851-8433
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-12
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL000024811207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine