Individual
MR. NATE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1350 WALTON WAY, AUGUSTA, GA 30901-2612
(706) 774-8249
Mailing address
338 BRENTFORD AVE, GROVETOWN, GA 30813-4261
(262) 812-3345
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
007215
GA
Other
Enumeration date
06/25/2014
Last updated
07/23/2015
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