Anderson, Mary Hamilton

Anderson, Mary Hamilton is an individual health care provider with primary practice located at 411 Town Blvd , Evans GA 30809-3089. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Allergy & Immunology, Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology. Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology is her primary health care specialty. Anderson, Mary Hamilton can be contacted via phone (706) 854-2500.

Contact Information

Primary practice address
411 Town Blvd Evans GA 30809-3089
Phone: (706) 854-2500
Fax: (706) 854-2559
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 031554 Georgia
Allopathic & Osteopathic Physicians / Pediatric Allergy/Immunology 2080P0201X 31554 Georgia

Profile Details

NPI number 1518027457
LBN Legal business name Anderson, Mary Hamilton
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2006
Last updated Feb 7th, 2024 - about 2 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 1518027457 NPPES
Georgia MEDICAID 000555981B
Georgia MEDICAID 000555981C

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