| Doctor Name: | CAROLINE ANDERSON |
| NPI Number: | 1679713747 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | RN154703 |
| Business Practice Address: | 278 S Main St Baxley, GA - 315130102 |
| Business Phone Number: | 9123679559 |
| Business Fax Number: | 9123679554 |
| Mailing Address: | 278 South Main Street, BAXLEY |
| State: | GA |
| Postal Code: | 31513 |
| Phone Number: | 9123679559 |
| Fax Number: | 9123679554 |
| NPI Enumeration Date: | 03/02/2009 |
| NPI Last Update Date: | 03/25/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | RN154703 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | GA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |