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RACHEL ANDERSON DO
>> Organized Health Care Education/Training Program >> StudentRegistrant NPI Number: 1407383805
Individual Registrant: RACHEL ANDERSON DO
Gender: F
Sole Proprietor
Gender: F
Sole Proprietor
Location and contact information for practice:
2621 E PINETREE BLVD THOMASVILLE, GA 31792-4840 US
Tel: 229-584-4100 Fax: --
Tel: 229-584-4100 Fax: --
Contact information for business:
900 CAIRO RD THOMASVILLE, GA 31792-4255 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1407383805
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 390200000X | Student Organized Health Care Education/Training Program | ||
| Y | 207Q00000X | Allopathic & Osteopathic Physicians Family Medicine | GA | 84325 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
