Individual
DYLAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1120 15TH ST BA 8412, AUGUSTA, GA 30912
(706) 721-8623
Mailing address
1120 15TH ST BA 8412, AUGUSTA, GA 30912
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
15119
GA
Other
Enumeration date
06/26/2023
Last updated
06/26/2023
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