Individual
MR. JON RICHARD ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
6998 OLD CUSSETA RD, FORT BENNING, GA 31905-5431
(706) 626-1598
Mailing address
6998 OLD CUSSETA RD, FORT BENNING, GA 31905-5431
(706) 626-1598
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
GA
Other
Enumeration date
10/30/2025
Last updated
10/30/2025
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