MR. Athan Anderson III
NPI #1215957469 in Portsmouth, Virginia
Provider Information
- NPI Number
- 1215957469
- Entity Type
- Individual
- Name
- MR. Athan Anderson III
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Emergency Medical Technician, Basic
- Enumeration Date
- Jul 20, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 4000 COAST GUARD BLVD
- City
- Portsmouth
- State
- Virginia
- ZIP Code
- 23707-2199
- Phone
- (757) 483-8710
Specialties & Taxonomy Codes
| Specialty |
|---|
| Emergency Medical Technician, Basic |
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