Anderson, Judith A

Anderson, Judith A is an individual health care provider with primary practice located at 611 East Villanow Street , La Fayette GA 30728. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anderson, Judith A can be contacted via phone (706) 638-1606.

Contact Information

Primary practice address
611 East Villanow Street La Fayette GA 30728
Phone: (706) 638-1606
Fax: (706) 638-9907
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26779 Tennessee
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 074892 Georgia

Profile Details

NPI number 1619213378
LBN Legal business name Anderson, Judith A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 27th, 2012
Last updated Oct 20th, 2015 - about 9 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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