| Raynon A. Andrews, Md, Pc | |
|
1878 Jeff Road Suite A Huntsville AL 35806 | |
| (256) 489-8650 | |
| (256) 489-0181 |
| Full Name | Raynon A. Andrews, Md, Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1878 Jeff Road, Huntsville, Alabama |
| Authorized Official Name and Position | Raynon A Andrews (OWNER/PHYSICIAN) |
| Authorized Official Contact | 2564898650 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Raynon A. Andrews, Md, Pc 1878 Jeff Road Suite A Huntsville AL 35806 Ph: (256) 489-8650 | Raynon A. Andrews, Md, Pc 1878 Jeff Road Suite A Huntsville AL 35806 Ph: (256) 489-8650 |
| NPI Number | 1811185424 |
|---|---|
| Provider Enumeration Date | 10/09/2007 |
| Last Update Date | 06/23/2010 |
| Medicare PECOS PAC ID | 8729064670 |
|---|---|
| Medicare Enrollment ID | O20040629001502 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811185424 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | 00024811 (Alabama) | Primary |
| Provider Name | Raynon A Andrews |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1174694244 PECOS PAC ID: 7416858592 Enrollment ID: I20040120000986 |
| Provider Name | Eboni Camielle Murraine |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275170565 PECOS PAC ID: 6608277124 Enrollment ID: I20210622001349 |
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