Eric Anderson Mdpc

NPI #1003096009 in Valdosta, Georgia

Provider Information

NPI Number: 1003096009
Entity Type: Organization
Organization Name: Eric Anderson Mdpc
Primary Specialty: Internal Medicine - Hematology & Oncology
Enumeration Date: Nov 7, 2007
Last Updated: Dec 3, 2007

Practice Location

Address: 209 PENDLETON DR
City: Valdosta
State: Georgia
ZIP Code: 31602-1729
Phone: (229) 259-4600

Authorized Official

Name: MR. BARRY THOMAS WAKEFIELD
Title: PRACTICE MANAGER
Phone: (229) 247-5275

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine - Hematology & Oncology — Hematology & Oncology	207RH0003X	Primary

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