Anderson, Caroline
Anderson, Caroline is an sole proprietor health care provider with primary practice located at 278 S Main St , Baxley GA 31513-0102. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Anderson, Caroline can be contacted via phone (912) 367-9559.Contact Information
Primary practice address
278 S Main St
Baxley GA 31513-0102
Phone: (912) 367-9559
Fax: (912) 367-9554
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | RN154703 | Georgia |
Profile Details
| NPI number | 1679713747 |
|---|---|
| LBN Legal business name | Anderson, Caroline |
| Credentials | Family Nurse Practitioner (FNP) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 2nd, 2009 |
| Last updated | Mar 25th, 2010 - about 14 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679713747 | NPPES |
| Georgia | MEDICAID | 329161117A |
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