Individual
SYDNEY T ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
282 E MEADE ST, PEARL, MS 39208-3842
(601) 573-5442
Mailing address
PO BOX 452, TOUGALOO, MS 39174-0452
(601) 573-5442
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
09/20/2023
Last updated
09/20/2023
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