NPI 1003831397 · live from the CMS NPI Registry
Shawn C Anderson, DO
Family Medicine in Meridian, MS. National Provider Identifier 1003831397, active.
NPI record
| NPI | 1003831397 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 2024 15th St Fl 2, Meridian, MS 39301 |
| Practice phone | 601-553-2000 |
| Mailing address | Po Box 749215, Atlanta, GA 30374 |
| Enumerated | July 13, 2006 |
| Last updated | October 25, 2024 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | 16163 (MS) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.