Individual
MARIE B ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.A.
Contact information
Practice address
120 TRINITY PL, ATHENS, GA 30607-2100
(706) 543-2718
(706) 353-3709
Mailing address
120 TRINITY PL, ATHENS, GA 30607-2100
(706) 543-2718
(706) 353-3709
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
002031
GA
Other
Enumeration date
07/15/2005
Last updated
12/08/2009
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