Thomas L Anderson in Valdosta - Adolescent Medicine

Thomas L Anderson - NPI 1033169321

Thomas L Anderson is a Adolescent Medicine in Valdosta, Georgia. Thomas L Anderson practices all healthcare services and medical treatments related to Adolescent Medicine. The NPI Number for Thomas L Anderson is 1033169321. The last update date is 2011-01-04.

Thomas L Anderson's current location address is 105 W Cranford Ave, Valdosta, Georgia. You can contact this provider via phone number 2292477350 and fax number 2292421730. The mailing address for Thomas L Anderson is 105 W Cranford Ave, Valdosta, Georgia. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas L Anderson
Address 105 W Cranford Ave, Valdosta, Georgia
Phone Number 2292477350
Fax Number 2292421730
Sole Proprietor N
Credentials M.D.

NPI Number Detail

NPI Number 1033169321
Provider Enumeration Date 2006-05-10
Last Updated Date 2011-01-04

Provider Mailing Address Detail

Address 105 W Cranford Ave
City Valdosta
State Georgia (GA)
Post Code 316022930
Phone Number 2292477350
Fax Number 2292421730

Provider's Primary Taxonomy Detail

Speciality Adolescent Medicine
Taxonomy 2080A0000X
Licence No 25093
Definition:
A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
264389800 FL --
00271543A GA --
202I370889 GA MEDICARE PART B

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FAQs about Thomas L Anderson

What is the unique 10-digit identifier code issued to Thomas L Anderson by the Centers for Medicare & Medicaid Services?

The Thomas L Anderson has been assigned the NPI (National Provider Identifier) 1033169321 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Thomas L Anderson?

The Thomas L Anderson is situated at 105 W Cranford Ave, in the city of Valdosta, state of GA, with the zip code 316022930.

What is Thomas L Anderson's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Thomas L Anderson is Adolescent Medicine, and the taxonomy code that classifies this field of practice is 2080A0000X.

When did Thomas L Anderson receive its 1033169321 assignment?

The Thomas L Anderson was assigned its 1033169321 on 2006-05-10, which is the date when this unique identifier was issued to the organization.

As of what date were the details pertaining to Thomas L Anderson last refreshed?

The information related to the Thomas L Anderson, including its address, specialty, and other relevant details, was last updated on 2011-01-04.

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