Individual
DR. MARIO DONNELL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
5370 CAMPBELLTON FAIRBURN RD, SUITE 530, FAIRBURN, GA 30213-2296
(678) 666-4146
(678) 666-4148
Mailing address
8823 PRODUCTION LN, OOLTEWAH, TN 37363-6511
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT010030
GA
Other
Enumeration date
08/30/2010
Last updated
03/21/2013
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