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Organization
ANDERSON PHYSICIAN ALLIANCE, INC.
Active
Organization
ANDERSON PHYSICIAN ALLIANCE, INC.
Active
Parent organization
ANDERSON PHYSICIAN ALLIANCE, INC.
Other names
Anderson Family Medical Center - Riverbirch
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDERSON PHYSICIAN ALLIANCE, INC.
Authorized official
MR. RICHARD J. HIGHTOWER (PRESIDENT)
(601) 553-6104
Entity
Organization
Contact information
Practice address
2514 67TH AVENUE LOOP STE 112, MERIDIAN, MS 39307-7260
(601) 553-0707
(601) 553-0775
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6104
(601) 553-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
208000000X
Pediatrics Physician
—
NULL
208000000X
Pediatrics Physician
—
—
Other
Enumeration date
03/09/2011
Last updated
03/09/2011
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