Anderson, Robert Gregory

Anderson, Robert Gregory is an individual health care provider with primary practice located at 1815 Old Ocilla Rd , Tifton GA 31794-1617. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Anderson, Robert Gregory can be contacted via phone (229) 391-3535.

Contact Information

Primary practice address
1815 Old Ocilla Rd Tifton GA 31794-1617
Phone: (229) 391-3535
Fax: (229) 391-3529
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 032121 Georgia

Profile Details

NPI number 1437119583
LBN Legal business name Anderson, Robert Gregory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 24th, 2006
Last updated Oct 29th, 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 1437119583 NPPES
Georgia Other 270436 BLUE CROSS BLUE SHEILD
Georgia MEDICAID 00400375A BLUE CROSS BLUE SHEILD

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