Individual
MICHAEL DAVID ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 STONECREST BLVD, SMYRNA, TN 37167-6810
(615) 768-2000
Mailing address
1431 CENTERPOINT BLVD, SUITE 100, KNOXVILLE, TN 37932-1984
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
40027
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3334155
—
TN
Enumeration date
06/13/2006
Last updated
07/19/2007
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