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Individual

JAMES NOBLE ANDERSON JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1773 PLATT PL, MONTGOMERY, AL 36117-7762
(334) 284-5470
(334) 284-9714
Mailing address
1773 PLATT PL, MONTGOMERY, AL 36117-7762
(334) 284-5470
(334) 284-9714

Taxonomy

Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
15297
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000027090
AL
01
040010445
RAILROAD MEDICARE
AL
01
051027090
BLUE CROSS BLUE SHIELD
AL
Enumeration date
09/27/2006
Last updated
07/06/2011
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