Thomas L Anderson
Adolescent Medicine
105 W Cranford Ave
Valdosta
, Georgia 31602-2930
Thomas L Anderson
Adolescent Medicine
105 W Cranford Ave
Valdosta
, Georgia 31602-2930
(229) 242-1730
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About
Features
Specialties
- Adolescent Medicine
Languages spoken
- English
Location
First Address
- Thomas L Anderson
- 105 W Cranford Ave
- Valdosta, GA
- Zip : 31602-2930
- Fax : (229) 242-1730
- Phone : (229) 247-7350
Second Address
- Thomas L Anderson
- 105 W Cranford Ave
- Valdosta, GA
- Zip : 31602-2930
- Fax : (229) 242-1730
- Phone : (229) 247-7350
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2080A0000X | Adolescent Medicine | 025093 | GA |
National Provider Identifier
| NPI | 1033169321 |
|---|---|
| Provider Name | Thomas L Anderson |
| First Address | Valdosta, GA 31602-2930 |
| Second Address | Valdosta, GA 31602-2930 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 04/01/2011 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 00271543A | (05) | GA |
| 202I370889 | MEDICARE PART B (01) | GA |
| 264389800 | (05) | FL |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.