Individual
GARRETT DOUGLAS ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
078212
GA
390200000X
Student in an Organized Health Care Education/Training Program
182666
NC
Other
Enumeration date
06/08/2012
Last updated
07/21/2022
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