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Individual

DR. JUDITH A ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
611 EAST VILLANOW STREET, LA FAYETTE, GA 30728
(706) 638-1606
(706) 638-9907
Mailing address
611 EAST VILLANOW STREET, LA FAYETTE, GA 30728
(706) 638-1606
(706) 638-9907

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
074892
GA
208000000X
Pediatrics Physician
26779
TN

Other

Enumeration date
12/27/2012
Last updated
10/20/2015
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