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

MR. JON RICHARD ANDERSON, PTA

Active

MR. JON RICHARD ANDERSON, PTA is a Specialist/Technologist, Surgical healthcare provider located in FORT BENNING, Georgia. NPI 1962371963 is currently active in the NPPES registry. Verify at CMS.

Specialist/Technologist, Surgical · FORT BENNING, GA

Registration Details

NPI Number
1962371963
Provider Type
Individual
Gender
Male
NPI Issued
Oct 30, 2025 (0.74728604825571 yrs)
Last Updated
Oct 30, 2025

Practice Information

Address
6998 OLD CUSSETA RD
FORT BENNING, GA, 319055431
Browse GA providers · Browse ZIP 31905
Phone
7066261598
Primary Specialty
Specialist/Technologist, Surgical
246Z00000X

Other Specialist/Technologist, Surgical Providers in FORT BENNING, GA

Name Credential NPI
MR. JAMES CALVIN RODGERS LPN, RPSGT 1972634608
DOMINIC NARCISSE 1740159748
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.