Anderson, Michael George

Anderson, Michael George is an individual health care provider with primary practice located at 391 East Main Street Historic Hawkins Building, Canton GA 30114-2712. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Anderson, Michael George can be contacted via phone (770) 720-6963.

Contact Information

Primary practice address
391 East Main Street Historic Hawkins Building Canton GA 30114-2712
Phone: (770) 720-6963
Fax: (770) 720-6965
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 054532 Georgia

Profile Details

NPI number 1073685418
LBN Legal business name Anderson, Michael George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2006
Last updated Oct 1st, 2012 - about 12 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 1073685418 NPPES
Georgia MEDICAID 268736326A
Georgia Other 629697125A
Georgia Other 1609087972

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