Individual
MRS. BARBARA JANE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1670 CLAIRMONT RD, DECATUR, GA 30033-4004
(404) 321-6111
Mailing address
3530 SCHOONER RDG, ALPHARETTA, GA 30005-4258
(770) 475-3574
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
1005569
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1005569
PA CERTIFICATION NUMBER
GA
01
—
36
36
—
Enumeration date
07/03/2006
Last updated
07/08/2007
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