Andersen, Chris S

Andersen, Chris S is an individual health care provider with primary practice located at 590 Nancy St Nw , Marietta GA 30060-1334. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Andersen, Chris S can be contacted via phone (770) 423-0395.

Contact Information

Primary practice address
590 Nancy St Nw Marietta GA 30060-1334
Phone: (770) 423-0395
Fax: (770) 499-0352
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 030708 Georgia

Profile Details

NPI number 1255398467
LBN Legal business name Andersen, Chris S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 1st, 2006
Last updated Dec 3rd, 2019 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1255398467 NPPES
Georgia Other 898832 AETNA HMO ID
Georgia MEDICAID 00373183B AETNA HMO ID
Georgia Other 020046444 AETNA HMO ID
Georgia Other 4083355 AETNA HMO ID
Georgia Other 52053446-001 AETNA HMO ID

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