Organization
ANDERSON REGIONAL MEDICAL CENTER
Active
Other names
Baptist Anderson Professional Services
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY M DUCKETT (SR VP / CLO)
(901) 227-5233
Entity
Organization
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6000
(601) 703-0124
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 703-3480
(601) 703-0124
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
2085R0001X
Radiation Oncology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
008874574
—
MS
05
—
205173
—
AL
Enumeration date
08/12/2016
Last updated
08/16/2024
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