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Individual
CARL A ANDERSON
Active
Individual
CARL A ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
APRN
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
11543
TN
363LP0200X
Pediatric Nurse Practitioner
Primary
APN11543
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
620476822
VMG TAX ID
—
Enumeration date
03/14/2007
Last updated
07/27/2023
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