Search › Georgia › 363A00000X
Phan Anderson, PA
NPI 1265570105 · on the registry since 2007
Practice
- Address
- 203 Greythorne Dr
Kathleen, GA 31047 - Phone
- (719) 337-9392
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2012-01-18
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 Georgia