Provider Demographics
NPI:1972240604
Name:ANDREWS, FORREST PRESLEY
Entity Type:Individual
Prefix:
First Name:FORREST
Middle Name:PRESLEY
Last Name:ANDREWS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 MERRY OAKES LN
Mailing Address - Street 2:
Mailing Address - City:KEYSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23947-3620
Mailing Address - Country:US
Mailing Address - Phone:434-391-4031
Mailing Address - Fax:
Practice Address - Street 1:151 MERRY OAKES LN
Practice Address - Street 2:
Practice Address - City:KEYSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23947-3620
Practice Address - Country:US
Practice Address - Phone:434-391-4031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-15
Last Update Date:2022-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program