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Individual

MR. TOBY ERIC ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
9705 OGLESBY RD, MILLINGTON, TN 38053-4304
(901) 338-2188
(901) 872-4188
Mailing address
9705 OGLESBY RD, MILLINGTON, TN 38053-4304
(901) 338-2188
(901) 872-4188

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
E-3513
AR
207Q00000X
Family Medicine Physician
Primary
MD 37824
TN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1510304
TN
05
3888454
TN
05
3888455
TN
01
4198103
BCBS
TN
Enumeration date
08/15/2005
Last updated
10/08/2009
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