Individual
DR. CHRISTOPHER D ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 925-6805
(601) 926-4978
Mailing address
2500 N STATE ST, JACKSON, MS 39216-4500
(601) 925-6805
(601) 926-4978
Taxonomy
Speciality
Code
Description
License number
State
204F00000X
Transplant Surgery Physician
2006006296
MO
204F00000X
Transplant Surgery Physician
Primary
21659
MS
2086S0102X
Surgical Critical Care Physician
2006006296
MO
2086S0120X
Pediatric Surgery Physician
2006006296
MO
2086S0129X
Vascular Surgery Physician
2006006296
MO
2086X0206X
Surgical Oncology Physician
2006006296
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
06752300
—
MS
05
—
208355206
—
MO
Enumeration date
12/26/2006
Last updated
02/18/2015
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