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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