Anderson, Larry W.

Anderson, Larry W. is an individual health care provider with primary practice located at 81 Northside Dawson Dr Ste 205, Dawsonville GA 30534-7166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Larry W. can be contacted via phone (706) 265-1335.

Contact Information

Primary practice address
81 Northside Dawson Dr Ste 205 Dawsonville GA 30534-7166
Fax: (706) 265-2296
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 020648 Georgia

Profile Details

NPI number 1932157856
LBN Legal business name Anderson, Larry W.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2006
Last updated Aug 7th, 2020 - about 5 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 1932157856 NPPES
Georgia Other P00419457 RAILROAD MEDICARE PTAN
Georgia MEDICAID 003138628A RAILROAD MEDICARE PTAN
Georgia Other 08BCBCN RAILROAD MEDICARE PTAN

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