Anderson, Garland Edward

Anderson, Garland Edward is an individual health care provider with primary practice located at 1416 Gobbler Head Dr , Bogalusa LA 70427-6091. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Anderson, Garland Edward can be contacted via phone (985) 732-4853.

Contact Information

Primary practice address
1416 Gobbler Head Dr Bogalusa LA 70427-6091
Phone: (985) 732-4853
Fax: (985) 735-8883
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 205805 Louisiana

Profile Details

NPI number 1750680567
LBN Legal business name Anderson, Garland Edward
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 18th, 2011
Last updated Dec 31st, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750680567 NPPES
Louisiana MEDICAID 2149610

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