# ANDERSON PHYSICIAN ALLIANCE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Baptist Medical Group-Anderson Physician Alliance
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760798227
- **Authorized official:** GREGORY M DUCKETT (SR VP / CLO)
- **Authorized official phone:** (901) 227-5233

## Contact information

- **Practice address:** 2124 14TH ST, MERIDIAN, MS 39301-4040
- **Practice address phone:** (601) 703-3480
- **Practice address fax:** (601) 703-0124
- **Mailing address:** PO BOX 2839, MERIDIAN, MS 39302-2839
- **Mailing address phone:** (601) 703-3480
- **Mailing address fax:** (601) 703-0124

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |
| 208800000X | Urology Physician | — | NULL | — |
| 208800000X | Urology Physician | — | — | — |
| 261QM1300X | Multi-Specialty Clinic/Center | — | MS | Yes |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 08/23/2010
- **Last updated:** 08/16/2024