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Individual
DR. JIMMIE SCOTT ANDERSON
Active
Individual
DR. JIMMIE SCOTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6793
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1895938
UNITED CONCORDIA
NC
01
—
4074378
BCBS OF TENNESSEE
NC
01
—
81058849
BCBS OF ALABAMA
NC
05
—
899011E
—
NC
Enumeration date
03/21/2007
Last updated
07/08/2007
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