Organization
ANDERSON PHYSICIAN ALLIANCE, INC.
Active
Parent organization
ANDERSON PHYSICIAN ALLIANCE, INC.
Other names
Anderson Family Medical Center - Enterprise
Organization subpart
Yes
Provider details
NPI number
Legal business name
ANDERSON PHYSICIAN ALLIANCE, INC.
Authorized official
MR. RICHARD J. HIGHTOWER (PRESIDENT)
(601) 553-6104
Entity
Organization
Contact information
Practice address
83 OLD MILL CREEK ROAD, ENTERPRISE, MS 39330-9649
(601) 703-3465
(601) 703-3408
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 553-6104
(601) 553-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
04/12/2011
Last updated
04/12/2011
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