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

DR. JUDITH A ANDERSON, MD

Active

Pediatrics · LA FAYETTE, GA

Registration Details

NPI Number: 1619213378
Provider Type: Individual
Gender: Female
NPI Issued: Dec 27, 2012 (13.377347833866 yrs)
Last Updated: Oct 20, 2015
Licenses: 26779 (TN)

074892 (GA)

Practice Information

Address: 611 EAST VILLANOW STREET

LA FAYETTE, GA, 30728
Browse GA providers · Browse ZIP 30728
Phone: 7066381606
Fax: 7066389907
Primary Specialty: Pediatrics
208000000X
Additional Specialty: Pediatrics

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.