Individual
DR. TANYA SAVAGE ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
703B FARMER ST, PORT GIBSON, MS 39150-2319
(601) 437-5668
Mailing address
114 SINGING HILLS CV, VICKSBURG, MS 39180-8416
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
16897
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0122761
—
MS
Enumeration date
01/23/2007
Last updated
07/09/2021
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