Organization
DAVID S ANDERSON MD INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SCOTT ANDERSON MD (OWNER)
(423) 476-7584
Entity
Organization
Contact information
Practice address
1860 EXECUTIVE PARK, SUITE B, CLEVELAND, TN 37312-2756
(423) 476-7584
(423) 476-7586
Mailing address
1860 EXECUTIVE PARK, SUITE B, CLEVELAND, TN 37312-2756
(423) 476-7584
(423) 476-7586
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD0000011770
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0043803
BC
—
01
—
110011398
RAILROAD MEDICARE
—
05
—
3720585
—
TN
Enumeration date
08/15/2006
Last updated
02/10/2010
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