Individual
DR. RICHARD C. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D.
Contact information
Practice address
208 SE THIRD STREET, COCHRAN, GA 31014-0494
(478) 934-7700
(478) 934-8080
Mailing address
PO BOX 494, COCHRAN, GA 31014-0494
(478) 934-7700
(478) 934-8080
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DN009790
GA
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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