Individual
DR. NATHAN CECIL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157-2805
(336) 716-7580
Mailing address
3923 ROBINHOOD RD, WINSTON SALEM, NC 27106-4734
(801) 792-4531
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
R76832
AZ
207W00000X
Ophthalmology Physician
Primary
2022-00973
NC
390200000X
Student in an Organized Health Care Education/Training Program
248746
NC
Other
Enumeration date
05/23/2018
Last updated
06/21/2022
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