Provider Demographics
NPI:1821087800
Name:FLETCHER, ANDREW SCOTT (MD)
Entity Type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:SCOTT
Last Name:FLETCHER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4300 SAPPHIRE COURT
Mailing Address - Street 2:SUITE 110
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27834-9019
Mailing Address - Country:US
Mailing Address - Phone:252-830-7561
Mailing Address - Fax:252-413-0932
Practice Address - Street 1:4300 SAPPHIRE CT
Practice Address - Street 2:SUITE 110
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27834-9075
Practice Address - Country:US
Practice Address - Phone:252-830-7561
Practice Address - Fax:252-413-0932
Is Sole Proprietor?:No
Enumeration Date:2005-10-21
Last Update Date:2016-03-23
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CO43555208D00000X
NC2012-02331207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No208D00000XAllopathic & Osteopathic PhysiciansGeneral Practice