Healthcare Provider Details

I. General information

NPI: 1154119501
Provider Name (Legal Business Name): ANDREA FILOZOF
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 09/07/2026
Certification Date: 09/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

590 MANNING DR
CHAPEL HILL NC
27599-4226
US

IV. Provider business mailing address

590 MANNING DR
CHAPEL HILL NC
27599-0001
US

V. Phone/Fax

Practice location:
  • Phone: 984-974-0210
  • Fax:
Mailing address:
  • Phone: 984-974-0210
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberRTL25-0245
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: