Eric Anderson Mdpc

NPI 1003096009 - Internal Medicine - 207RH0003X

NPI Details
NPI 1003096009
Enumeration Date 11/07/2007
Last Updated 12/03/2007
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name BARRY THOMAS BARRY
Position PRACTICE MANAGER
Phone (229) 259-4600
Fax (229) 259-4601
Practice Location
209 PENDLETON DR
VALDOSTA GA, 31602-1729, US
Phone (229) 259-4600
Fax (229) 259-4601
Business Location
PO BOX 2250
VALDOSTA GA, 31604-2250, US
Phone (229) 247-5275
Fax (229) 247-5275
Toxanomy
Taxonomy Code 207RH0003X
License State Georgia
License Number 051577
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According to our database, Eric Anderson Mdpc NPI is 1003096009, taxonomy code is 207RH0003X and license number is 051577, license state is located at Georgia. Eric Anderson Mdpc physically located at 209 Pendleton Dr, Valdosta GA, 31602-1729. NPI Number 1033115704 has the healthcare provider type.

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1003096009 NPI number is provided on an as is basis without warranty of any kind. 1003096009 is maintained by the National Plan & Provider Enumeration System. The contents of Eric Anderson Mdpc are for informational purposes only.