Individual
COLIN ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
743 SPRING STREET NE, GAINESVILLE, GA 30501
(770) 317-3302
Mailing address
PO BOX 742616, ATLANTA, GA 30374-2616
(770) 219-8420
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN283431
GA
363LA2100X
Acute Care Nurse Practitioner
Primary
RN283431
GA
Other
Enumeration date
01/19/2023
Last updated
02/05/2025
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