NPI 1053471300 · live from the CMS NPI Registry
Randall Montgomery Anderson, MD
Orthopaedic Surgery in Rome, GA. National Provider Identifier 1053471300, active.
NPI record
| NPI | 1053471300 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 1825 Martha Berry Blvd Nw, Rome, GA 30165 |
| Practice phone | 762-235-2700 |
| Mailing address | 221 Technology Pkwy Nw, Rome, GA 30165 |
| Enumerated | December 9, 2006 |
| Last updated | March 23, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery primary | 207X00000X | 050864 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.