Individual
NATHAN K ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CNIM
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-4429
Mailing address
4695 SETTLES POINT RD, SUWANEE, GA 30024-1988
(770) 714-8880
Taxonomy
Speciality
Code
Description
License number
State
156F00000X
Technician/Technologist
—
—
363A00000X
Physician Assistant
Primary
—
GA
Other
Enumeration date
06/01/2022
Last updated
08/28/2023
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