Individual
TAMMY MADDOX ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NURSE PRACTITIONER
Contact information
Practice address
EISENHOWER ARMY MEDICAL CENTER, 300 E HOSPITAL RD, FORT GORDON, GA 30905-8202
(706) 787-5616
Mailing address
EISENHOWER ARMY MEDICAL CENTER, 300 E HOSPITAL RD, FORT GORDON, GA 30905-8202
(706) 787-5616
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
RN156536
GA
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
RN156536
GA
Other
Enumeration date
12/15/2015
Last updated
07/07/2025
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