Christopher B Anderson, M.D.

Individual provider Active NPI Family Medicine Physician · Canton, GA

NPI 1124160908 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1124160908
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
054967 (GA)
Practice address
720 Transit Ave Ste 101
Canton, GA 30114-2571
Phone
(770) 720-7000
Fax
(770) 720-7055
NPI assigned
Feb 12, 2007
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 054967 GA Yes

Addresses

Primary practice location

720 Transit Ave Ste 101
Canton, GA 30114-2571

Mailing address

720 Transit Ave Ste 101
Canton, GA 30114-2571
Phone (770) 720-7000

Other providers in Canton, GA

All providers in Canton, GA · Family Medicine Physician in Georgia

Sources for this page

Verify at the official NPI Registry.