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1811964000
JACK W. ANDERSON
MONTGOMERY, AL
NPI
1811964000
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: AL MD.16671)
Enumeration Date
2006-03-07
Last Update Date
2019-09-26
Business Address
JACK W. ANDERSON MD
470 TAYLOR RD
MONTGOMERY, AL 36117-3563
Phone number: 334-226-4048
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Mailing Address
JACK W. ANDERSON MD
2151 OLD ROCKY RIDGE ROAD SUITE 106
BIRMINGHAM, AL 35216-7251
Phone number: 205-989-1080
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