Anderson, Mark Edward

Anderson, Mark Edward is an individual health care provider with primary practice located at 719 Green Valley Rd Suite 201, Greensboro NC 27408. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Anderson, Mark Edward can be contacted via phone (336) 378-1110.

Contact Information

Primary practice address
719 Green Valley Rd Suite 201 Greensboro NC 27408
Fax: (336) 378-9986
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 39232 North Carolina

Profile Details

NPI number 1386616639
LBN Legal business name Anderson, Mark Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 2nd, 2006
Last updated Jul 8th, 2007 - about 17 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 1386616639 NPPES
North Carolina MEDICAID 8911222

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