# ANDERSON PHYSICIAN ALLIANCE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ANDERSON PHYSICIAN ALLIANCE, INC.
- **Other names:** Anderson Family Medical Center - Enterprise
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1750671665
- **Legal business name:** ANDERSON PHYSICIAN ALLIANCE, INC.
- **Authorized official:** MR. RICHARD J. HIGHTOWER (PRESIDENT)
- **Authorized official phone:** (601) 553-6104

## Contact information

- **Practice address:** 83 OLD MILL CREEK ROAD, ENTERPRISE, MS 39330-9649
- **Practice address phone:** (601) 703-3465
- **Practice address fax:** (601) 703-3408
- **Mailing address:** 2124 14TH ST, MERIDIAN, MS 39301-4040
- **Mailing address phone:** (601) 553-6104
- **Mailing address fax:** (601) 553-6144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 04/12/2011
- **Last updated:** 04/12/2011