Individual
DR. JOHN L. ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1800 WATER PL SE, SUITE 220, ATLANTA, GA 30339-2061
(770) 850-8918
(770) 850-1628
Mailing address
1800 WATER PL SE, SUITE 220, ATLANTA, GA 30339-2064
(770) 850-8918
(770) 850-1628
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
022207
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000268375-C
—
GA
Enumeration date
09/26/2006
Last updated
08/27/2012
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