Individual
DR. ALEXANDER BASSAM ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1120 15TH ST # BF-103B, AUGUSTA, GA 30912-8231
(706) 721-5118
Mailing address
1120 15TH ST, AUGUSTA, GA 30912-9533
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
16261
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/27/2023
Last updated
05/14/2024
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