Individual
MR. ANDERSON JAY WARD III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CCP
Contact information
Practice address
565 COPPERLEAF WALK, GADSDEN, AL 35901-6510
(209) 985-1777
Mailing address
565 COPPERLEAF WALK, GADSDEN, AL 35901-6510
(209) 985-1777
Taxonomy
Speciality
Code
Description
License number
State
242T00000X
Perfusionist
Primary
229193
—
Other
Enumeration date
02/16/2021
Last updated
07/11/2024
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