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1982630109
WALLACE STEVE ANDERSON DO, PC
DOUGLAS, GA
NPI
1982630109
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Entity Type
Organization
Authorized Contact
WALLACE S ANDERSON
Owner
912-384-1043
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: GA 028708)
Enumeration Date
2006-06-23
Last Update Date
2014-12-10
Business Address
WALLACE STEVE ANDERSON DO, PC
1311 OCILLA RD
DOUGLAS, GA 31533-2213
Phone number: 912-384-1043
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Mailing Address
WALLACE STEVE ANDERSON DO, PC
1311 OCILLA RD
DOUGLAS, GA 31533-2213
Phone number: 912-384-1043
Copy
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