NPI 1750680567 · live from the CMS NPI Registry
Garland Edward Anderson, M.D.
Family Medicine in Bogalusa, LA. National Provider Identifier 1750680567, active.
NPI record
| NPI | 1750680567 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine 207Q00000X |
| Practice location | 1416 Gobbler Head Dr, Bogalusa, LA 70427 |
| Practice phone | 985-732-4853 |
| Mailing address | 420 Avenue F, Bogalusa, LA 70427 |
| Enumerated | March 18, 2011 |
| Last updated | December 31, 2020 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | — |
| Family Medicine primary | 207Q00000X | 205805 (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.