Individual
MR. ALLAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 476-7445
(704) 476-7417
Mailing address
201 E GROVER ST, SHELBY, NC 28150-3917
(704) 476-7445
(704) 476-7417
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
042412
NC
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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