Anderson's Ccbi

Primary specialty

Home Modifications ContractorTaxonomy code 171WH0202X

License

RBI002004 Issued in GA

Legal business name

ANDERSON'S CCBI

Practice address

1581 Queen Elizabeth Dr
Locust Grove, GA 30248-3660

Phone

(678) 265-0809

NPI assigned

Feb 18, 2011

Last updated

Feb 18, 2011By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Linda E Anderson

Title

Ceo

Phone

(678) 265-0809

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297987200000",
    "number": "1164729646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1581 QUEEN ELIZABETH DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483660",
            "telephone_number": "678-265-0809"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1581 QUEEN ELIZABETH DR",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483660",
            "telephone_number": "678-265-0809"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDERSON'S CCBI",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-18",
        "last_updated": "2011-02-18",
        "status": "A",
        "authorized_official_last_name": "ANDERSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-265-0809",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "171WH0202X",
            "taxonomy_group": "",
            "desc": "Contractor, Home Modifications",
            "state": "GA",
            "license": "RBI002004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Modifications Contractor in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Home Modifications Contractor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.