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Individual

JUSTIN W ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
1005 S WASHINGTON ST, BAINBRIDGE, GA 39819-4465
(229) 248-2683
Mailing address
1401 S MAIN ST, MOULTRIE, GA 31768-5811
(229) 227-5510

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
RN207284
GA

Other

Enumeration date
07/31/2015
Last updated
03/20/2026
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