Individual
EMILY MARY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
242 KING AVENUE STE 150, ATHENS, GA 30606
(847) 436-1280
Mailing address
701 S. NEW BALLAS ROAD, SUITE 300, SAINT LOUIS, MO 63141
(314) 251-5890
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
13280
GA
363A00000X
Physician Assistant
2021020597
MO
363AS0400X
Surgical Physician Assistant
085006639
IL
Other
Enumeration date
08/27/2018
Last updated
11/14/2025
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