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MR. STEVEN ERIC ANDERSON P.A.

>> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1467451203

Individual Registrant:
MR. STEVEN ERIC ANDERSON P.A.
Gender: M
Not Sole Proprietor

Location and contact information for practice:
1917 W PARK DR  NORTH WILKESBORO, NC 28659-3585 US
Tel: 336-903-7845  Fax: 336-903-7841

Contact information for business:
4601 PARK RD SUITE 300 CHARLOTTE, NC 28209-3239 US
Tel: 704-323-2000  Fax: --

Registration Information:
NPI: 1467451203
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA3125
Y363A00000XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
NC100443
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA3125
N363AM0700XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
NC100443
N363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
FLPA3125

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE PTAN, INDIVIDUAL AT WILKESNC9073ANC01




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