James Anderson

Individual provider Active NPI Pharmacist · Hiawassee, GA

NPI 1528366804 · NPPES record last updated Mar 10, 2011

Key facts

NPI
1528366804
Entity type
Individual (NPI type 1)
Primary specialty
Pharmacist 183500000X
License
10249 (GA)
Practice address
131 S Main St
Hiawassee, GA 30546-3412
Phone
(706) 896-2255
NPI assigned
Mar 10, 2011
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)
No

State licenses

LicenseStateTypeSpecialty
10249GAMDGeneral Practice Dentistry

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X 10249 GA Yes

Addresses

Primary practice location

131 S Main St
Hiawassee, GA 30546-3412

Mailing address

PO Box 926
Hayesville, NC 28904-0926
Phone (404) 520-1729

Other providers in Hiawassee, GA

All providers in Hiawassee, GA · Pharmacist in Georgia

Sources for this page

Verify at the official NPI Registry.