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Organization

CHRISTIAN G ANDERSON MD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CHRISTIAN G ANDERSON M.D. (PHYSICIAN)
(704) 734-0576
Entity
Organization

Contact information

Practice address
502 W KING ST, SUITE 100, KINGS MOUNTAIN, NC 28086-3362
(704) 734-0576
(704) 730-1712
Mailing address
502 W KING ST, SUITE 100, KINGS MOUNTAIN, NC 28086-3362
(704) 734-0576
(704) 730-1712

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
19586
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8911190
NC
Enumeration date
09/19/2007
Last updated
09/03/2010
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