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Organization

EQUALITY IN ACTION

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHANTE' RENEE ANDERSON DO (EXECUTIVE DIRECTOR)
(704) 401-9697
Entity
Organization

Contact information

Practice address
207 HOLLY AVE, MOUNT AIRY, NC 27030-8014
(704) 401-9697
Mailing address
PO BOX 6533, MOUNT AIRY, NC 27030-6533
(704) 401-9697

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary

Other

Enumeration date
02/26/2021
Last updated
02/26/2021
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