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Nancy Anderson, Physicians Assistant

Physician Assistant in Macon, GA. Individual provider (NPI-1).

NPI number1710068614
StatusActive
Last updated in NPPESMar 10, 2017

Details

NPI
1710068614
Entity type
Individual (NPI-1)
Name
Nancy Anderson
Credential
Physicians Assistant
Sex
Female
Sole proprietor
No
Enumeration date
Oct 18, 2006
Last updated
Mar 10, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician Assistant––Yes
363AM0700X Physician Assistant, Medical001108GA

Practice location

3708 Northside Dr
Macon, GA 31210-2404

Phone 478-745-4206

Mailing address

3708 Northside Dr
Macon, GA 31210-2404

Phone 478-745-4206

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