Individual
DR. ERIC BUCKLEY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
903 WARD ST W STE B, DOUGLAS, GA 31533-3536
(912) 384-4111
(912) 384-4115
Mailing address
PO BOX 1377, DOUGLAS, GA 31534
(912) 389-2231
(912) 384-1470
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
051577
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00955237C
—
GA
01
—
051577
MEDICAL LICENSE
GA
Enumeration date
05/25/2006
Last updated
06/23/2022
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