NPI 1750671665 · live from the CMS NPI Registry
Anderson Physician Alliance, INC.
Family Medicine in Enterprise, MS. National Provider Identifier 1750671665, active.
NPI record
| NPI | 1750671665 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 83 Old Mill Creek Road, Enterprise, MS 39330 |
| Practice phone | 601-703-3465 |
| Mailing address | 2124 14th St, Meridian, MS 39301 |
| Enumerated | April 12, 2011 |
| Last updated | April 12, 2011 |
| Authorized official | Richard Hightower, President |
| Other names | Anderson Family Medical Center - Enterprise |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine primary | 207Q00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.