Marc Blaine Anderson Valid NPI

Individual provider · Physician Assistant · Dalton, GA

NPI

1609613629

Type

Individual (Type 1)

Primary specialty

Physician Assistant

Specialty group

Physician Assistants & Advanced Practice Nursing Providers

Taxonomy code

363A00000X

License number

12617 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2024-07-09

Last updated

2026-01-22