Individual
MR. MICHAEL PATRICK ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
3441 LAWRENCEVILLE SUWANEE RD., SUITE C, SUWANEE, GA 30024
(877) 704-1761
(678) 730-0280
Mailing address
2133 HWY 317, SUITE 12-318, SUWANEE, GA 30024-2649
(877) 704-1761
(678) 730-0280
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR007341
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
GRP1288
GROUP NUMBER
GA
Enumeration date
07/25/2006
Last updated
03/07/2013
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