Individual
DR. PAUL EDWARD ANDERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, DMD
Contact information
Practice address
262 S PEACHTREE PKWY, SUITE 1, PEACHTREE CITY, GA 30269-1751
(770) 302-0101
(770) 302-0105
Mailing address
262 S PEACHTREE PKWY, SUITE 1, PEACHTREE CITY, GA 30269-1751
(770) 302-0101
(770) 302-0105
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
DN012577
GA
Other
Enumeration date
09/20/2006
Last updated
05/18/2015
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