NPI 1992096903 · live from the CMS NPI Registry
Jason Scott Andersen, MD
Orthopaedic Surgery in Hiram, GA. National Provider Identifier 1992096903, active.
NPI record
| NPI | 1992096903 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Orthopaedic Surgery 207X00000X |
| Practice location | 148 Bill Carruth Pkwy Ste 120, Hiram, GA 30141 |
| Practice phone | 943-202-7010 |
| Enumerated | April 25, 2011 |
| Last updated | November 14, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopaedic Surgery | 207X00000X | 83924 (SC) |
| Orthopaedic Surgery primary | 207X00000X | 077927 (GA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.