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TERRI L. ANDERSON PA-C

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

Registrant NPI Number: 1902896848

Individual Registrant:
 TERRI L. ANDERSON PA-C
Gender: F
Not Sole Proprietor

Location and contact information for practice:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8345  Fax: --

Contact information for business:
4038 LAUREN CT  DESTIN, FL 32541-2127 US
Tel: 850-621-2447  Fax: --

Registration Information:
NPI: 1902896848
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
FLPA 9107825

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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