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Contact Information

EVAN D ANDERSON
1740 MEMORIAL DR
WAYCROSS, GA31501-1044
 Phone: 912-338-9127
 Fax: 912-338-9847
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
Indicates primary specialty

NPI Profile & details for EVAN D ANDERSON · (Male)

NPI Number 1063804094
Status Active
Credentials
Entity Individual
Enumeration date 02/27/2015
Last updated 02/27/2015 - About 11 years ago
Sole proprietor 1 No
Identifiers
  • GA License # RPH025602
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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