Provider Demographics
NPI:1629394762
Name:PYLE, ANDREW C (PA-C)
Entity Type:Individual
Prefix:
First Name:ANDREW
Middle Name:C
Last Name:PYLE
Suffix:
Gender:M
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:60 2ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:TAYLORSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28681-2749
Mailing Address - Country:US
Mailing Address - Phone:828-270-3604
Mailing Address - Fax:
Practice Address - Street 1:60 2ND AVE SW
Practice Address - Street 2:
Practice Address - City:TAYLORSVILLE
Practice Address - State:NC
Practice Address - Zip Code:28681-2749
Practice Address - Country:US
Practice Address - Phone:828-270-3604
Practice Address - Fax:828-352-9607
Is Sole Proprietor?:No
Enumeration Date:2010-04-14
Last Update Date:2023-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA005812363A00000X
ALPA.703363A00000X
NC0010-06429363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant