Individual
MARK A ANDERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2122 MANCHESTER EXPY, COLUMBUS, GA 31904-6878
(706) 596-4000
Mailing address
5870 HIATUS RD, TAMARAC, FL 33321-6424
(800) 424-3672
(954) 377-3042
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
035363
GA
207Q00000X
Family Medicine Physician
035363
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00509759H
—
GA
Enumeration date
07/05/2006
Last updated
01/30/2019
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