Anderson, Thomas L

Anderson, Thomas L is an individual health care provider with primary practice located at 105 W Cranford Ave , Valdosta GA 31602-2930. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adolescent Medicine, which is considered as his primary health care specialty. Anderson, Thomas L can be contacted via phone (229) 247-7350.

Contact Information

Primary practice address
105 W Cranford Ave Valdosta GA 31602-2930
Phone: (229) 247-7350
Fax: (229) 242-1730
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adolescent Medicine 2080A0000X 025093 Georgia

Profile Details

NPI number 1033169321
LBN Legal business name Anderson, Thomas L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated Jan 4th, 2011 - about 13 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 1033169321 NPPES
Florida MEDICAID 264389800
Florida MEDICAID 00271543A
Florida Other 202I370889

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