Individual provider · NPI-1

Mary Elisabeth Neal Anderson, MD

Internal Medicine · Jackson, TN

NPI number1386639136
StatusActive
Last updated in NPPESFeb 28, 2018

Details

NPI
1386639136
Entity type
Individual (NPI-1)
Name
Mary Elisabeth Neal Anderson
Credential
MD
Sex
Female
Sole proprietor
No
Enumeration date
Sep 19, 2005
Last updated
Feb 28, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine28500TNYes
208000000X Pediatrics28500TN

Other names

  • Lisa Neal Anderson (Former Name)

Practice location

2863 Highway 45 Byp
Jackson, TN 38305-3618

Phone 731-664-1375 · Fax 731-660-8336

Mailing address

Po Box 400
Jackson, TN 38302-0400

Phone 731-425-5752 · Fax 731-425-5783

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