Individual
DR. PERCY L ANDERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M., C.W.S., CMET
Contact information
Practice address
1815 HOSPITAL DR, SUITE 434, JACKSON, MS 39204-3425
(601) 502-1100
(601) 502-0111
Mailing address
PO BOX 1533, SUITE 434, MADISON, MS 39130-1533
(601) 502-1100
(601) 502-0111
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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