Anderson, Donna R

Anderson, Donna R is an individual health care provider with primary practice located at 245 Memorial Dr , Jacksonville NC 28546-6333. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Donna R can be contacted via phone (910) 353-4333.

Contact Information

Primary practice address
245 Memorial Dr Jacksonville NC 28546-6333
Fax: (910) 353-6529
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 2012-00538 North Carolina

Profile Details

NPI number 1194992651
LBN Legal business name Anderson, Donna R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 14th, 2008
Last updated Apr 28th, 2022 - about 2 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 1194992651 NPPES
North Carolina Other 1194992651 NPI
North Carolina MEDICAID 5920924 NPI

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