Individual
CHRISTOPHER VANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PP
Contact information
Practice address
49 TICKNOR DR, COLUMBUS, GA 31903-3929
(706) 617-3132
Mailing address
2100 COMER AVE, COLUMBUS, GA 31904-8725
(706) 617-3132
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
04/11/2017
Last updated
04/11/2017
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