Individual
DR. DAVID LOUIS ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
300 HOSPITAL RD, FORT GORDON, GA 30905-5741
(706) 339-4877
Mailing address
3707 LARGENT WAY NW, MARIETTA, GA 30064-5981
(678) 581-5729
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
73388
GA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/12/2013
Last updated
10/01/2020
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