Anderson, Larry W.
Anderson, Larry W. is an individual health care provider with primary practice located at 81 Northside Dawson Dr Ste 205, Dawsonville GA 30534-7166. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Anderson, Larry W. can be contacted via phone (706) 265-1335.Contact Information
Primary practice address
81 Northside Dawson Dr Ste 205
Dawsonville GA 30534-7166
Phone: (706) 265-1335
Fax: (706) 265-2296
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 020648 | Georgia |
Profile Details
| NPI number | 1932157856 |
|---|---|
| LBN Legal business name | Anderson, Larry W. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 4th, 2006 |
| Last updated | Aug 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1932157856 | NPPES |
| Georgia | Other | P00419457 | RAILROAD MEDICARE PTAN |
| Georgia | MEDICAID | 003138628A | RAILROAD MEDICARE PTAN |
| Georgia | Other | 08BCBCN | RAILROAD MEDICARE PTAN |
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