David S Anderson Md Inc | |
1860 Executive Park Suite B Cleveland TN 37312-2756 | |
(423) 476-7584 | |
(423) 476-7586 |
Full Name | David S Anderson Md Inc |
---|---|
Speciality | Internal Medicine |
Location | 1860 Executive Park, Cleveland, Tennessee |
Authorized Official Name and Position | David Scott Anderson (OWNER) |
Authorized Official Contact | 4234767584 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
David S Anderson Md Inc 1860 Executive Park Suite B Cleveland TN 37312-2756 Ph: (423) 476-7584 | David S Anderson Md Inc 1860 Executive Park Suite B Cleveland TN 37312-2756 Ph: (423) 476-7584 |
NPI Number | 1528071974 |
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Provider Enumeration Date | 08/15/2006 |
Last Update Date | 02/10/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528071974 | NPI | - | NPPES |
0043803 | Other | BC | |
110011398 | Other | RAILROAD MEDICARE | |
3720585 | Medicaid | TN |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | MD0000011770 (Tennessee) | Primary |
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