Organization
ANDERSON ANESTHESIA PROVIDERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN G ANDERSON FACHE (VP/ADMINISTRATOR)
(601) 553-6104
Entity
Organization
Contact information
Practice address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 485-6325
(601) 485-3061
Mailing address
PO BOX 5337, MERIDIAN, MS 39302-5337
(601) 485-6325
(601) 485-3061
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Enumeration date
12/11/2013
Last updated
01/15/2015
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