Individual
DR. MARY HAMILTON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
411 TOWN BLVD, EVANS, GA 30809-3089
(706) 854-2500
(706) 854-2559
Mailing address
P.O BOX 1758, EVANS, GA 30809-3089
(706) 854-2500
(706) 854-2559
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
031554
GA
2080P0201X
Pediatric Allergy/Immunology Physician
Primary
31554
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000555981B
—
GA
05
—
000555981C
—
GA
Enumeration date
12/11/2006
Last updated
02/07/2024
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