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Organization

ANDERSON REGIONAL MEDICAL CENTER

Active
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Organization

ANDERSON REGIONAL MEDICAL CENTER

Active
Other names
Professional Fees-EKG, BAPTIST ANDERSON PROFESSIONAL FEES-EKG
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOHN ANDERSON (CHIEF EXECUTIVE OFFICER)
(601) 553-6000
Entity
Organization

Contact information

Practice address
2124 14TH ST, MERIDIAN, MS 39301
(601) 703-3480
(601) 703-0124
Mailing address
2124 14TH ST, MERIDIAN, MS 39301-4040
(601) 703-3480
(601) 703-0124

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
2084N0402X
Neurology with Special Qualifications in Child Neurology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000019046
BLUE CROSS OF MS
MS
05
09013082
MS
05
102585
AL
05
529908690
AL
Enumeration date
04/19/2007
Last updated
10/15/2025
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