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Contact Information

NANCY ANDERSON, PHYSICIANS ASSISTANT
3708 NORTHSIDE DR
MACON, GA31210-2404
 Phone: 478-745-4206
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for NANCY ANDERSON · (Female)

NPI # 1710068614
Status Active
Credentials PHYSICIANS ASSISTANT
Entity Individual
Enumeration date 10/18/2006
Last updated 03/10/2017 - About 9 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 001108
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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