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Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Parent organization
ANDERSON REGIONAL MEDICAL CENTER
Other names
Anderson Multispecialty Providers
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDERSON REGIONAL MEDICAL CENTER
Authorized official
JOHN ANDERSON (CEO/PRESIDENT)
(601) 553-6104
Entity
Organization
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 703-3480
(601) 703-0124
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 703-3480
(601) 703-0124
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
—
NULL
207RG0100X
Gastroenterology Physician
—
—
2085R0001X
Radiation Oncology Physician
—
NULL
2085R0001X
Radiation Oncology Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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