Organization
ANDERSON'S CCBI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LINDA E ANDERSON (CEO)
(678) 265-0809
Entity
Organization
Contact information
Practice address
1581 QUEEN ELIZABETH DR, LOCUST GROVE, GA 30248-3660
(678) 265-0809
Mailing address
1581 QUEEN ELIZABETH DR, LOCUST GROVE, GA 30248-3660
(678) 265-0809
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
RBI002004
GA
Other
Enumeration date
02/18/2011
Last updated
02/18/2011
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