Individual
GRANT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
211 INDIAN LAKE BLOULEVARD, HENDERSONVILLE, TN 37075
(615) 826-3100
(615) 447-1059
Mailing address
513 SAINT BLAISE RD, GALLATIN, TN 37066-4449
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2972
TN
Other
Enumeration date
04/01/2016
Last updated
04/01/2016
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