| Wallace Steve Anderson Do, Pc | |
|
1311 Ocilla Rd Douglas GA 31533-2213 | |
| (912) 384-1043 | |
| Not Available |
| Full Name | Wallace Steve Anderson Do, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1311 Ocilla Rd, Douglas, Georgia |
| Authorized Official Name and Position | Wallace S Anderson (OWNER) |
| Authorized Official Contact | 9123841043 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wallace Steve Anderson Do, Pc 1311 Ocilla Rd Douglas GA 31533-2213 Ph: (912) 384-1043 | Wallace Steve Anderson Do, Pc 1311 Ocilla Rd Douglas GA 31533-2213 Ph: (912) 384-1043 |
| NPI Number | 1982630109 |
|---|---|
| Provider Enumeration Date | 06/23/2006 |
| Last Update Date | 12/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982630109 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 028708 (Georgia) | Primary |
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