Individual
PETER M. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D., PHD
Contact information
Practice address
1001 BLYTHE BLVD, MEDICAL CENTER PLAZA, SUITE 601, CHARLOTTE, NC 28203-5866
(704) 381-9900
(704) 381-8848
Mailing address
PO BOX 601372, CHARLOTTE, NC 28260-1372
(704) 381-9900
(704) 381-8848
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
26793
NC
2080P0207X
Pediatric Hematology & Oncology Physician
M4688
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1033202825
—
NC
05
—
177424201
—
TX
05
—
NC1825
—
SC
Enumeration date
10/02/2006
Last updated
11/19/2013
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