Individual
URSULA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1284 BRANCHFIELD CT STE 201, RIVERDALE, GA 30296-2148
(678) 782-0275
Mailing address
1284 BRANCHFIELD CT STE 201, RIVERDALE, GA 30296-2148
(678) 782-0275
Taxonomy
Speciality
Code
Description
License number
State
246RP1900X
Phlebotomy Technician
Primary
G6F3D3L7
GA
Other
Enumeration date
05/11/2015
Last updated
05/11/2015
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