Athan Anderson

NPI 1215957469 · on the registry since 2006 · sole proprietor

Practice

Address: 4000 Coast Guard Blvd
Portsmouth, VA 23707
Phone: (757) 483-8710
Fax: (757) 483-8716
Organisation at this address: U. S. Coast Guard
United States Coast Guard
Us Coast Guard Finance Center
Isc Portsmouth Health Services Division Uscg
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 50

Registry record

Primary taxonomy: 146N00000X
146N00000X
Licence states on file: CA
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Virginia