Provider Demographics
NPI:1255919072
Name:HAGGIANDREOU, ANDREAS
Entity type:Individual
Prefix:
First Name:ANDREAS
Middle Name:
Last Name:HAGGIANDREOU
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:ANDREAS
Other - Middle Name:
Other - Last Name:HAGGIANDREOU
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DC
Mailing Address - Street 1:152 W MAIN ST
Mailing Address - Street 2:
Mailing Address - City:FOREST CITY
Mailing Address - State:NC
Mailing Address - Zip Code:28043-3050
Mailing Address - Country:US
Mailing Address - Phone:182-824-5020
Mailing Address - Fax:828-245-0422
Practice Address - Street 1:152 W MAIN ST
Practice Address - Street 2:
Practice Address - City:FOREST CITY
Practice Address - State:NC
Practice Address - Zip Code:28043-3050
Practice Address - Country:US
Practice Address - Phone:182-824-5020
Practice Address - Fax:828-245-0422
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5335111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor