Provider Demographics
NPI:1316257256
Name:SCHAEFER, ANDREW JOSEPH (PA-C)
Entity type:Individual
Prefix:MR
First Name:ANDREW
Middle Name:JOSEPH
Last Name:SCHAEFER
Suffix:
Gender:M
Credentials:PA-C
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Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:444 WILLIAMSON RD
Mailing Address - Street 2:SUITE E
Mailing Address - City:MOORESVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28117-9247
Mailing Address - Country:US
Mailing Address - Phone:704-658-9779
Mailing Address - Fax:704-658-9773
Practice Address - Street 1:444 WILLIAMSON RD
Practice Address - Street 2:SUITE E
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9247
Practice Address - Country:US
Practice Address - Phone:704-658-9779
Practice Address - Fax:704-658-9773
Is Sole Proprietor?:No
Enumeration Date:2010-10-13
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC0010-02566363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical