Individual
GREGORY SCOTT ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 TELETECH DR, MOUNDSVILLE, WV 26041-2790
(304) 843-3379
Mailing address
246 DUERR ST, NEW MARTINSVILLE, WV 26155-1435
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
34876
WV
Other
Enumeration date
11/28/2022
Last updated
11/28/2022
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