Individual
DR. THEODORE STARBUCK ANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
122 N ELM ST, SUITE 400, GREENSBORO, NC 27401-2878
(336) 334-5601
(336) 334-5657
Mailing address
122 N ELM ST, SUITE 400, GREENSBORO, NC 27401-2878
(336) 334-5601
(336) 334-5657
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
20092
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11271
BLUE CROSS BLUE SHIELD
NC
05
—
3403407
—
NC
Enumeration date
03/19/2007
Last updated
07/08/2007
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