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DR. JUDITH A ANDERSON MD

>> Pediatrics >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1619213378

Individual Registrant:
DR. JUDITH A ANDERSON MD
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

Contact information for business:
611 EAST VILLANOW STREET  LA FAYETTE, GA 30728 US
Tel: 706-638-1606  Fax: 706-638-9907

Registration Information:
NPI: 1619213378
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N208000000XAllopathic & Osteopathic Physicians
Pediatrics
TN26779
Y208000000XAllopathic & Osteopathic Physicians
Pediatrics
GA074892

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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