Individual
DR. DONALD R ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, FACC, FCCP, COL
Contact information
Practice address
175 W MONROE STE 266, WYTHEVILLE, VA 24382-2341
(202) 294-7948
Mailing address
175 W MONROE ST STE 266, WYTHEVILLE, VA 24382-2341
(202) 294-7948
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
0101246201
VA
207RC0000X
Cardiovascular Disease Physician
39277
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00638404C
—
GA
05
—
1679564595
—
VA
Enumeration date
10/31/2005
Last updated
09/28/2016
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