Individual
DR. JASON SCOTT ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
148 BILL CARRUTH PKWY STE 120, HIRAM, GA 30141-3756
(943) 202-7010
(470) 986-7005
Mailing address
148 BILL CARRUTH PKWY STE 120, HIRAM, GA 30141-3756
(943) 202-7010
(470) 986-7005
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
077927
GA
207X00000X
Orthopaedic Surgery Physician
83924
SC
Other
Enumeration date
04/25/2011
Last updated
11/14/2022
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