Individual
ANDREW KARL ANDERSON
Active
Individual
ANDREW KARL ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
059359
GA
2085R0202X
Diagnostic Radiology Physician
Primary
30790
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1073729711
BCBSSC
SC
05
—
307901
—
SC
01
—
P00645078
RAILROAD MEDICARE
SC
Enumeration date
05/16/2007
Last updated
02/13/2014
Update your record
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