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DR. LARRY W. ANDERSON D.O.

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1932157856

Individual Registrant:
DR. LARRY W. ANDERSON D.O.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
81 NORTHSIDE DAWSON DR STE 205 DAWSONVILLE, GA 30534-7166 US
Tel: 706-265-1335  Fax: 706-265-2296

Contact information for business:
81 NORTHSIDE DAWSON DR STE 205 DAWSONVILLE, GA 30534-7166 US
Tel: 706-265-1335  Fax: 706-265-2296

Registration Information:
NPI: 1932157856
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
GA020648

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
003138628AGA05
LEGACY08BCBCNGA01
RAILROAD MEDICARE PTANP00419457GA01




HEALTH CARE JOBS GA - Page 1



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