Individual provider · NPI-1
Dr. William Erick Anderson, MD
Family Medicine · Rome, GA
NPI number1073873147
StatusActive
Last updated in NPPESOct 20, 2017
Details
- NPI
- 1073873147
- Entity type
- Individual (NPI-1)
- Name
- Dr. William Erick Anderson
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 23, 2012
- Last updated
- Oct 20, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | 71462 | GA | Yes |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
304 Shorter Ave NwSte 201
Rome, GA 30165-4290
Phone 706-509-3300 · Fax 706-509-3301
Mailing address
304 Shorter Ave NwSte 201
Rome, GA 30165-4290
Phone 706-509-3300 · Fax 706-509-3301
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