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Contact Information

NATHAN K ANDERSON, CNIM
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA30046-7694
 Phone: 678-312-4429
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Technician/Technologist

156F00000X
Indicates primary specialty

NPI Profile & details for NATHAN K ANDERSON · (Male)

NPI # 1629717350
Status Active
Credentials CNIM
Entity Individual
Enumeration date 06/01/2022
Last updated 08/28/2023 - About 3 years ago
Sole proprietor 1 No
Identifiers Not Available
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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