Provider Demographics
NPI:1780625095
Name:SCHUETT, ANDREW MARVIN (MD)
Entity type:Individual
Prefix:DR
First Name:ANDREW
Middle Name:MARVIN
Last Name:SCHUETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 N MADISON ST
Mailing Address - Street 2:
Mailing Address - City:WHITEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28472-3310
Mailing Address - Country:US
Mailing Address - Phone:910-642-7737
Mailing Address - Fax:910-642-7767
Practice Address - Street 1:604 N MADISON ST
Practice Address - Street 2:
Practice Address - City:WHITEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28472-3310
Practice Address - Country:US
Practice Address - Phone:910-642-7737
Practice Address - Fax:910-642-7767
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2012-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC9501406207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2048411OtherMEDICARE ID
NC5902935Medicaid
NCG36575Medicare UPIN