Travis Lamar Anderson MD

NPI 1093721326 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1093721326
Gender Male
Enumeration Date 07/31/2006
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
524 SIGNAL HILL RD.
PARAGON PLACE, BLDG 2
STATESVILLE NC, 28677, US
Phone (704) 871-1045
Fax
Business Location
3490 PATTERSON AVE
WINSTON SALEM NC, 27105-3627, US
Phone (336) 306-2717
Fax
Toxanomy
Taxonomy Code 2084P0800X
License State North Carolina
License Number 9901371
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According to our database, Dr. Travis Lamar Anderson MD NPI is 1093721326, taxonomy code is 2084P0800X and license number is 9901371, license state is located at North Carolina. Travis Lamar Anderson MD physically located at 524 Signal Hill Rd., Statesville NC, 28677. NPI Number Travis Lamar Anderson MD has the Individual type.

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1093721326 NPI number is provided on an as is basis without warranty of any kind. 1093721326 is maintained by the National Plan & Provider Enumeration System. The contents of Travis Lamar Anderson MD are for informational purposes only.