Individual
ROBERT GREGORY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1815 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 391-3535
(229) 391-3529
Mailing address
1815 OLD OCILLA RD, TIFTON, GA 31794-1617
(229) 391-3535
(229) 391-3529
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
032121
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00400375A
—
GA
01
—
270436
BLUE CROSS BLUE SHEILD
GA
Enumeration date
03/24/2006
Last updated
10/29/2020
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