Individual
DR. JIMMIE SCOTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
1819 E INNES ST STE 2, SALISBURY, NC 28146-6030
(704) 636-3611
(704) 636-3694
Mailing address
1819 E INNES ST STE 2, SALISBURY, NC 28146-6030
(704) 636-3611
(704) 636-3694
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
6793
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1895938
UNITED CONCORDIA
NC
01
—
4074378
BCBS OF TENNESSEE
NC
01
—
81058849
BCBS OF ALABAMA
NC
05
—
899011E
—
NC
Enumeration date
03/21/2007
Last updated
07/08/2007
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