Individual
MR. MICHAEL JAMES ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1825 HIGHWAY 34 E, NEWNAN, GA 30265-6423
(770) 502-2121
(770) 502-2113
Mailing address
1825 HIGHWAY 34 E, NEWNAN, GA 30265-6423
(770) 502-2121
(770) 502-2113
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
9338
GA
Other
Enumeration date
07/16/2019
Last updated
07/16/2019
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