Individual
DR. JIM G ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
76299 TALLASSEE HWY, WETUMPKA, AL 36092
(334) 567-1984
(334) 567-1927
Mailing address
PO BOX 705, 76299 TALLASSEE HWY, WETUMPKA, AL 36092
(334) 567-1984
(334) 567-1927
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
720
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70184
BCBS OF AL
AL
Enumeration date
08/02/2006
Last updated
07/08/2007
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