Individual
DR. GARLAND EDWARD ANDERSON II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1416 GOBBLER HEAD DR, BOGALUSA, LA 70427-6091
(985) 732-4853
(985) 735-8883
Mailing address
420 AVENUE F, BOGALUSA, LA 70427-3600
(985) 732-0058
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
205805
LA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149610
—
LA
Enumeration date
03/18/2011
Last updated
12/31/2020
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