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Individual

VICTORIA H ANDERSON

Active
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Individual

VICTORIA H ANDERSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
36333
GA
2084P0800X
Psychiatry Physician
7431
AK
2084P0800X
Psychiatry Physician
8136A
WY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
003161850B
GA
Enumeration date
09/19/2008
Last updated
08/04/2015
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