Organization
ANDERSON FAMILY MEDICINE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EVELYN KELLY ANDERSON MD (PRESIDENT)
(704) 283-8888
Entity
Organization
Contact information
Practice address
1301 DOVE ST, MONROE, NC 28112-5012
(704) 283-8888
Mailing address
1301 DOVE ST, MONROE, NC 28112-5012
(704) 283-8888
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
017WA
BCBS/NC
NC
01
—
5177F
BCBS/NC
NC
05
—
5903343
—
NC
Enumeration date
06/01/2006
Last updated
03/04/2008
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