Organization
DR. RICHARD C. ANDERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAN H. ANDERSON R.N. (OFFICE MANAGER)
(478) 934-4763
Entity
Organization
Contact information
Practice address
PO BOX 494, COCHRAN, GA 31014-0494
(478) 934-4763
(478) 934-8080
Mailing address
PO BOX 494, COCHRAN, GA 31014-0494
(478) 934-4763
(478) 934-8080
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
9790
GA
363LA2200X
Adult Health Nurse Practitioner
RN126365 NP
GA
364S00000X
Clinical Nurse Specialist
Primary
RN052713
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00269123A
—
GA
Enumeration date
06/06/2007
Last updated
09/11/2025
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