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Contact Information

DONALD R ANDERSON, MD, FACC, FCCP, COL
175 W MONROE STE 266
WYTHEVILLE, VA24382-2341
 Phone: 202-294-7948
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

207RC0000X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for DONALD R ANDERSON · (Male)

NPI Number 1679564595
Status Active
Credentials MD, FACC, FCCP, COL
Entity Individual
Enumeration date 10/31/2005
Last updated 09/28/2016 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • GA License # 39277
  • VA License # 0101246201
  • GA Medicaid 00638404C
  • VA Medicaid 1679564595
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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