Individual
DR. SHAWN C ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2024 15TH ST FL 2, MERIDIAN, MS 39301-4130
(601) 553-2000
(601) 553-6873
Mailing address
PO BOX 749215, ATLANTA, GA 30374-9215
(901) 226-3186
(901) 226-3160
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16163
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00120272
—
MS
Enumeration date
07/13/2006
Last updated
10/25/2024
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