Individual
MARK WENDELL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
901 N WINSTEAD AVE, ROCKY MOUNT, NC 27804-8467
(252) 937-0231
(252) 937-3113
Mailing address
PO BOX 7200, ROCKY MOUNT, NC 27804-0200
(252) 937-0200
(252) 451-0056
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
200400098
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
89136HG
—
NC
Enumeration date
06/10/2005
Last updated
11/07/2023
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