Provider Demographics
NPI:1548866635
Name:DOYLE, ANDREW PETER (PHARMD)
Entity type:Individual
Prefix:
First Name:ANDREW
Middle Name:PETER
Last Name:DOYLE
Suffix:
Gender:M
Credentials:PHARMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3065 ATLANTA HWY
Mailing Address - Street 2:
Mailing Address - City:ATHENS
Mailing Address - State:GA
Mailing Address - Zip Code:30606-3334
Mailing Address - Country:US
Mailing Address - Phone:706-548-8656
Mailing Address - Fax:706-395-0418
Practice Address - Street 1:3065 ATLANTA HWY
Practice Address - Street 2:
Practice Address - City:ATHENS
Practice Address - State:GA
Practice Address - Zip Code:30606-3334
Practice Address - Country:US
Practice Address - Phone:706-548-8656
Practice Address - Fax:706-395-0418
Is Sole Proprietor?:No
Enumeration Date:2020-12-05
Last Update Date:2020-12-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GARPH024502183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist