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Organization

COMMUNITY PRIMARY & URGENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MARK ANDERSON NP-C (PROVIDER)
(912) 433-4707
Entity
Organization

Contact information

Practice address
244 LEDFORD STREET, PEMBROKE, GA 31321-3132
(912) 653-4357
Mailing address
244 LEDFORD STREET, PEMBROKE, GA 31321

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary

Other

Enumeration date
11/26/2018
Last updated
06/23/2023
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