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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

EVELYN ANITA ANDERSON

Active Sole Proprietor

EVELYN ANITA ANDERSON is a 3140N1450X healthcare provider located in GRANTVILLE, Georgia. NPI 1295342731 is currently active in the NPPES registry. Verify at CMS.

3140N1450X · GRANTVILLE, GA

Registration Details

NPI Number
1295342731
Provider Type
Individual
Gender
Female
NPI Issued
Sep 29, 2020 (5.8732123710705 yrs)
Last Updated
Sep 29, 2020
License
113357 (GA)
Sole Proprietor
Yes

Practice Information

Address
202 CHARLIE FULLER RD
GRANTVILLE, GA, 302202801
Browse GA providers · Browse ZIP 30220
Phone
7709272290
Fax
4045222935
Primary Specialty
3140N1450X
3140N1450X
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.