| Doctor Name: | PAUL EDWARD ANDERSON |
| NPI Number: | 1508065939 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DO |
| License Number: | DO0000000501 |
| Business Practice Address: | Harboldt Rd Altamont, TN - 37301 |
| Business Phone Number: | 9316922538 |
| Business Fax Number: | |
| Mailing Address: | 184 Grindstone Estates, OOLTEWAH |
| State: | TN |
| Postal Code: | 37363 |
| Phone Number: | 4233962081 |
| Fax Number: | 4233962081 |
| NPI Enumeration Date: | 07/16/2007 |
| NPI Last Update Date: | 07/16/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | DO0000000501 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | TN |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |