Preston Michael Anderson, DO Valid NPI

Individual provider · Family Medicine Physician · Apo, AE

NPI

1902425333

Type

Individual (Type 1)

Primary specialty

Family Medicine Physician (Family Medicine)

Specialty group

Allopathic & Osteopathic Physicians

Taxonomy code

207Q00000X

License number

90863 (GA)

Sex

Male

Sole proprietor

No

Enumerated

2020-04-15

Last updated

2023-07-24