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1932321742
OTIS ANDERSON
SOUTHAVEN, MS
NPI
1932321742
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry
(Licence: MS 21754)
Enumeration Date
2007-05-02
Last Update Date
2011-10-13
Business Address
Dr. OTIS ANDERSON M.D.
5185 GETWELL RD
SOUTHAVEN, MS 38671-9691
Phone number: 662-893-6300
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Mailing Address
Dr. OTIS ANDERSON M.D.
5147 WEMBERLEY DRIVE
MEMPHIS, TN 38125
Phone number: 901-240-8937
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