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MARY C ANDERSON MD

>> Family Medicine >> Allopathic & Osteopathic Physicians

Registrant NPI Number: 1083611057

Individual Registrant:
 MARY C ANDERSON MD
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4100 HARRISON ST  BATESVILLE, AR 72501-9419 US
Tel: 870-307-0001  Fax: 870-307-0395

Contact information for business:
PO BOX 497  AUGUSTA, AR 72006-0497 US
Tel: 870-347-2534  Fax: 870-347-3492

Registration Information:
NPI: 1083611057
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y207Q00000XAllopathic & Osteopathic Physicians
Family Medicine
ARE-1905

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
138378001AR05
RAILROAD MEDICARE08018927701




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