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JUSTIN W ANDERSON NP

Family >> Nurse Practitioner >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1023494135

Individual Registrant:
 JUSTIN W ANDERSON NP
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1005 S WASHINGTON ST  BAINBRIDGE, GA 39819-4465 US
Tel: 229-248-2683  Fax: --

Contact information for business:
1401 S MAIN ST  MOULTRIE, GA 31768-5811 US
Tel: 229-227-5510  Fax: --

Registration Information:
NPI: 1023494135
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363LF0000XPhysician Assistants & Advanced Practice Nursing Providers
Nurse Practitioner
Family
GARN207284

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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