Individual
MICHAEL ANTHONY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
IDC
Contact information
Practice address
107 KNOTTS COURT, SNEADS FERRY, NC 28460
(951) 440-3395
Mailing address
107 KNOTTS CT, SNEADS FERRY, NC 28460-6819
(951) 440-3395
Taxonomy
Speciality
Code
Description
License number
State
1710I1002X
Independent Duty Corpsman
Primary
—
—
Other
Enumeration date
03/13/2018
Last updated
07/29/2026
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