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1629717350
NATHAN K ANDERSON
LAWRENCEVILLE, GA
NPI
1629717350
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Additional Taxonomies
156F00000X Technician/Technologist
Enumeration Date
2022-06-01
Last Update Date
2023-08-28
Business Address
NATHAN K ANDERSON CNIM
1000 MEDICAL CENTER BLVD
LAWRENCEVILLE, GA 30046-7694
Phone number: 678-312-4429
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Mailing Address
NATHAN K ANDERSON CNIM
4695 SETTLES POINT RD
SUWANEE, GA 30024-1988
Phone number: 770-714-8880
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