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TERRI L. ANDERSON PA-C
Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing ProvidersRegistrant NPI Number: 1902896848
Individual Registrant: TERRI L. ANDERSON PA-C
Gender: F
Not Sole Proprietor
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: --
Tel: 850-883-8345 Fax: --
Contact information for business:
4038 LAUREN CT DESTIN, FL 32541-2127 US
Tel: 850-621-2447 Fax: --
Tel: 850-621-2447 Fax: --
Registration Information:
NPI: 1902896848
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 363AS0400X | Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Surgical | FL | PA 9107825 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
