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Organization
WALLACE STEVE ANDERSON DO, PC
Active
Organization
WALLACE STEVE ANDERSON DO, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WALLACE S ANDERSON DO (OWNER)
(912) 384-1043
Entity
Organization
Contact information
Practice address
1311 OCILLA RD, DOUGLAS, GA 31533-2213
(912) 384-1043
Mailing address
1311 OCILLA RD, DOUGLAS, GA 31533-2213
(912) 384-1043
(912) 384-0197
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
028708
GA
Other
Enumeration date
06/23/2006
Last updated
12/10/2014
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