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DR. JUDITH A ANDERSON MD
>> Pediatrics >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1619213378
Individual Registrant:DR. JUDITH A ANDERSON MD
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
611 EAST VILLANOW STREET LA FAYETTE, GA 30728 US
Tel: 706-638-1606 Fax: 706-638-9907
Tel: 706-638-1606 Fax: 706-638-9907
Contact information for business:
611 EAST VILLANOW STREET LA FAYETTE, GA 30728 US
Tel: 706-638-1606 Fax: 706-638-9907
Tel: 706-638-1606 Fax: 706-638-9907
Registration Information:
NPI: 1619213378
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | TN | 26779 |
| Y | 208000000X | Allopathic & Osteopathic Physicians Pediatrics | GA | 074892 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
