Organization
DUDLEY B. ANDERSON, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUDLEY BUIST ANDERSON M.D. (OWNER)
(252) 291-3100
Entity
Organization
Contact information
Practice address
1812 GLENDALE DR. SUITE B SW, WILSON, NC 27893
(252) 291-3100
(252) 243-0599
Mailing address
PO BOX 3146, WILSON, NC 27895-3146
(252) 291-3100
(252) 243-0599
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
17235
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11120
BCBS
NC
05
—
8911120
—
NC
Enumeration date
12/21/2007
Last updated
03/04/2008
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