Most Relevant Information
Provider Data
| NPI Number: | 1003279589 |
| Provider Name: | GRANT ANDERSON PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363A00000X |
| Specialty: | Physician Assistant |
| License Number: | 2972 |
Most Important Dates
| Enumeration Date: | 04/01/2016 |
| Last Updated: | 04/01/2016 |
Provider Practice Location
211 INDIAN LAKE BLOULEVARD
HENDERSONVILLE
TN
37075
Practice Location Phone/Fax
| Phone: | 6158263100 |
| Fax: | 6154471059 |
Provider Mailing Location
513 SAINT BLAISE RD
GALLATIN
TN
370664449
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |