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1881622314
WALLACE STEVE ANDERSON
DOUGLAS, GA
NPI
1881622314
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 028708)
Enumeration Date
2006-06-30
Last Update Date
2014-12-05
Business Address
-- WALLACE STEVE ANDERSON D.O.
1311 OCILLA RD
DOUGLAS, GA 31533-2213
Phone number: 912-384-1043
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Mailing Address
-- WALLACE STEVE ANDERSON D.O.
1311 OCILLA RD
DOUGLAS, GA 31533-2213
Phone number: 912-384-1043
Copy
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