Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PHAN TASCO ANDERSON, PA
ActivePhysician Assistant · KATHLEEN, GA
Registration Details
- NPI Number
- 1265570105
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Feb 2, 2007 (19.213558483701 yrs)
- Last Updated
- Jan 18, 2012
- License
-
1457 (CO)
Practice Information
- Address
-
203 GREYTHORNE DRKATHLEEN, GA, 310475304Browse GA providers · Browse ZIP 31047
- Phone
- 7193379392
- Primary Specialty
-
Physician Assistant
363A00000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.