Wallace Steve Anderson Do, PC

NPI #1982630109 in Douglas, Georgia

Provider Information

NPI Number: 1982630109
Entity Type: Organization
Organization Name: Wallace Steve Anderson Do, PC
Primary Specialty: Family Medicine
Enumeration Date: Jun 23, 2006
Last Updated: Dec 10, 2014

Practice Location

Address: 1311 OCILLA RD
City: Douglas
State: Georgia
ZIP Code: 31533-2213
Phone: (912) 384-1043

Authorized Official

Name: WALLACE S ANDERSON, DO
Title: OWNER
Phone: (912) 384-1043

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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