Individual
DR. PERCY L ANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M., C.W.S., CMET
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
80107
MS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05984200
—
MS
01
—
640813898
UNITED HEALTH CARE
MS
Enumeration date
10/11/2006
Last updated
04/01/2016
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