Individual
MRS. SHALIMAR ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
SA-C
Contact information
Practice address
1000 MEDICAL CENTER BLVD, LAWRENCEVILLE, GA 30046-7694
(678) 312-1000
Mailing address
1629 DAVENPORT DR, EVANS, GA 30809-0386
(706) 963-9184
Taxonomy
Speciality
Code
Description
License number
State
246ZC0007X
Surgical Assistant
Primary
17-508
GA
Other
Enumeration date
05/30/2025
Last updated
05/30/2025
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