Anderson, John G

Anderson, John G is an individual health care provider with primary practice located at 4575 N Shallowford Rd , Dunwoody GA 30338-6445. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Anderson, John G can be contacted via phone (770) 454-4286.

Contact Information

Primary practice address
4575 N Shallowford Rd Dunwoody GA 30338-6445
Phone: (770) 454-4286
Fax: (770) 454-4065
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X RN065882 Georgia

Profile Details

NPI number 1023063161
LBN Legal business name Anderson, John G
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated Jan 7th, 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 1023063161 NPPES
Georgia MEDICAID 000550569L

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