Marjorie Anderson, PA
Physician Assistant in Atlanta, GA. Individual provider (NPI-1).
NPI number1649368705
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1649368705
- Entity type
- Individual (NPI-1)
- Name
- Marjorie Anderson
- Credential
- PA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 11, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 634 | GA | Yes |
Practice location
1364 Clifton Rd NeSte H122
Atlanta, GA 30322-1059
Phone 404-778-3451
Mailing address
1364 Clifton Rd NeSte H122
Atlanta, GA 30322-1059
Phone 404-778-3712
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