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Individual

MR. JOHN JOSEPH ANDERSON SR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RPH

Contact information

Practice address
1711 RIVER ST, VALDOSTA, GA 31601-5163
(229) 244-8868
Mailing address
2218 BRIGHTON PL, VALDOSTA, GA 31602-2707
(229) 242-0453

Taxonomy

Speciality
Code
Description
License number
State
1835P1200X
Pharmacotherapy Pharmacist
Primary
9482
GA

Other

Enumeration date
08/16/2006
Last updated
07/08/2007
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