Provider Demographics
NPI:1275038622
Name:DOYLE, ANDREW MARK (DO)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:MARK
Last Name:DOYLE
Suffix:
Gender:M
Credentials:DO
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Mailing Address - Street 1:125 NATIONWIDE DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-4272
Mailing Address - Country:US
Mailing Address - Phone:434-200-3908
Mailing Address - Fax:434-200-1677
Practice Address - Street 1:125 NATIONWIDE DR
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24502-4272
Practice Address - Country:US
Practice Address - Phone:434-200-3908
Practice Address - Fax:434-200-1677
Is Sole Proprietor?:No
Enumeration Date:2018-03-28
Last Update Date:2021-06-24
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Provider Licenses
StateLicense IDTaxonomies
VA0116031609207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine