Anderson, Eric Buckley

Anderson, Eric Buckley is an individual health care provider with primary practice located at 903 Ward St W Ste B , Douglas GA 31533-3536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Anderson, Eric Buckley can be contacted via phone (912) 384-4111.

Contact Information

Primary practice address
903 Ward St W Ste B Douglas GA 31533-3536
Phone: (912) 384-4111
Fax: (912) 384-4115
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 051577 Georgia

Profile Details

NPI number 1891741757
LBN Legal business name Anderson, Eric Buckley
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 25th, 2006
Last updated Jun 23rd, 2022 - about 3 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 1891741757 NPPES
Georgia Other 051577 MEDICAL LICENSE
Georgia MEDICAID 00955237C MEDICAL LICENSE

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