Anderson's Ccbi

NPI 1164729646 - Contractor - 171WH0202X

NPI Details
NPI 1164729646
Enumeration Date 02/18/2011
Last Updated 02/18/2011
Entity Type Healthcare Provider
Active Over 5 years ago
Authorized Information
Name LINDA E LINDA
Position CEO
Phone (678) 265-0809
Fax
Practice Location
1581 QUEEN ELIZABETH DR
LOCUST GROVE GA, 30248-3660, US
Phone (678) 265-0809
Fax
Business Location
1581 QUEEN ELIZABETH DR
LOCUST GROVE GA, 30248-3660, US
Phone (678) 265-0809
Fax
Toxanomy
Taxonomy Code 171WH0202X
License State Georgia
License Number RBI002004
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According to our database, Anderson's Ccbi NPI is 1164729646, taxonomy code is 171WH0202X and license number is RBI002004, license state is located at Georgia. Anderson's Ccbi physically located at 1581 Queen Elizabeth Dr, Locust Grove GA, 30248-3660. NPI Number 1033115704 has the healthcare provider type.

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1164729646 NPI number is provided on an as is basis without warranty of any kind. 1164729646 is maintained by the National Plan & Provider Enumeration System. The contents of Anderson's Ccbi are for informational purposes only.