Doctor Name: | MISS CHRISTINE ANN ANDERSON |
NPI Number: | 1093758872 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PA-C |
License Number: | 004789 |
Business Practice Address: | 541 Old Historic 441 N Demorest, GA - 30535 |
Business Phone Number: | 7067544696 |
Business Fax Number: | 7067543916 |
Mailing Address: | 2800 Crane Mill Rd, ALTO |
State: | GA |
Postal Code: | 305103621 |
Phone Number: | 7063383898 |
Fax Number: | 7067543916 |
NPI Enumeration Date: | 06/13/2006 |
NPI Last Update Date: | 04/16/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | 004789 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |