| Doctor Name: | ANDREA WHITLEY PEYTON |
| NPI Number: | 1003100850 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | PA-C |
| License Number: | 0010-02920 |
| Business Practice Address: | 3155 Maplewood Ave Winston Salem, NC - 271033903 |
| Business Phone Number: | 3367944372 |
| Business Fax Number: | |
| Mailing Address: | 2416 Fairway Drive, WINSTON SALEM |
| State: | NC |
| Postal Code: | 27103 |
| Phone Number: | 3368177991 |
| Fax Number: | |
| NPI Enumeration Date: | 06/08/2011 |
| NPI Last Update Date: | 01/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AM0700X |
| License Number: | 0010-02920 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Medical |
| Taxonomy Definition: | |