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Individual

SCOTT A ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
1600 7TH AVE S, BIRMINGHAM, AL 35233-1711
(205) 939-9100
Mailing address
PO BOX 55310, BIRMINGHAM, AL 35255-5310
(205) 731-9701

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
31638
AL
208600000X
Surgery Physician
TRN6863
FL
2086S0120X
Pediatric Surgery Physician
31638
AL
2086S0120X
Pediatric Surgery Physician
L3337SP
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00527015
MS
01
051110035
BCBS
AL
01
051110036
BCBS
AL
01
051110037
BCBS
AL
01
051110038
BCBS
AL
01
051110039
BCBS
AL
01
051110040
BCBS
AL
05
124038
AL
05
124039
AL
05
124040
AL
05
124041
AL
05
124043
AL
05
124045
AL
Enumeration date
11/22/2006
Last updated
03/05/2020
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