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NPI 1114906609 · live from the CMS NPI Registry

Christopher Anderson, MD

Emergency Medicine in Mooresville, NC. National Provider Identifier 1114906609, active.

NPI record

NPI1114906609 Type 1 · individual
StatusActive
Primary specialtyEmergency Medicine 207P00000X
Practice location120 Sumter Dr, Mooresville, NC 28117
Practice phone704-660-6939
Mailing addressPo Box 26666, Phs Provider Enrollment, Albuquerque, NM 87125
EnumeratedJanuary 12, 2006
Last updatedJanuary 23, 2018
Sole proprietorNo

Taxonomies and licenses

TaxonomyCodeLicense
Emergency Medicine, Emergency Medical Services207PE0004X37998 (NC)
Emergency Medicine207P00000X036142147 (IL)
Emergency Medicine primary207P00000Xmd2017-1020 (NM)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.