Individual
WANDA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3783 PRESIDENTIAL PKWY, SUITE 142 I, ATLANTA, GA 30340-3709
(678) 431-8389
Mailing address
3405 SWEETWATER RD, APT 915, LAWRENCEVILLE, GA 30044-2445
(678) 431-8389
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
12/06/2014
Last updated
12/06/2014
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