Provider Demographics
NPI:1598869455
Name:SEXTON, ANDREW W (DO)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:W
Last Name:SEXTON
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7311 CRESTHILL DR
Mailing Address - Street 2:APT# B-7
Mailing Address - City:KNOXVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37919-5915
Mailing Address - Country:US
Mailing Address - Phone:865-909-9415
Mailing Address - Fax:
Practice Address - Street 1:7311 CRESTHILL DR
Practice Address - Street 2:APT# B-7
Practice Address - City:KNOXVILLE
Practice Address - State:TN
Practice Address - Zip Code:37919-5915
Practice Address - Country:US
Practice Address - Phone:865-909-9415
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA229891207ZF0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZF0201XAllopathic & Osteopathic PhysiciansPathologyForensic Pathology