Organization
ERIC ANDERSON MDPC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BARRY THOMAS WAKEFIELD (PRACTICE MANAGER)
(229) 247-5275
Entity
Organization
Contact information
Practice address
209 PENDLETON DR, VALDOSTA, GA 31602-1729
(229) 259-4600
(229) 259-4601
Mailing address
PO BOX 2250, VALDOSTA, GA 31604-2250
(229) 247-5275
(229) 247-5275
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
051577
GA
Other
Enumeration date
11/07/2007
Last updated
12/03/2007
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