Individual
VICTORIA H ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6789
(706) 227-7249
Mailing address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 389-6789
(706) 227-7249
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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