Individual
NANCY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICIANS ASSISTANT
Contact information
Practice address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Mailing address
3708 NORTHSIDE DR, MACON, GA 31210-2404
(478) 745-4206
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
—
—
363AM0700X
Medical Physician Assistant
001108
GA
Other
Enumeration date
10/18/2006
Last updated
03/10/2017
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