| Dr. John Anderson | |
|
89 Church Ave Rainsville AL 35986-0646 | |
| (256) 638-4436 | |
| (256) 638-7212 |
| Full Name | Dr. John Anderson |
|---|---|
| Speciality | Dentist |
| Location | 89 Church Ave, Rainsville, Alabama |
| Authorized Official Name and Position | John P Anderson (OWNER) |
| Authorized Official Contact | 2566384436 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dr. John Anderson 89 Church Ave Po Box 646 Rainsville AL 35986-0646 Ph: (256) 638-4436 | Dr. John Anderson 89 Church Ave Rainsville AL 35986-0646 Ph: (256) 638-4436 |
| NPI Number | 1407202476 |
|---|---|
| Provider Enumeration Date | 05/10/2016 |
| Last Update Date | 05/10/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407202476 | NPI | - | NPPES |
| 90122 | Medicaid | AL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | D3022 (Alabama) | Primary |
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