Individual
MRS. HEATHER M ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
2080 S FRONTAGE RD STE 100, VICKSBURG, MS 39180
(601) 262-1000
(601) 630-9994
Mailing address
2080 S FRONTAGE RD STE 100, VICKSBURG, MS 39180
(601) 262-1000
(601) 630-9994
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
PA00267
MS
Other
Enumeration date
02/01/2016
Last updated
11/15/2018
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