Most Relevant Information
Provider Data
| NPI Number: | 1003467523 |
| Provider Name: | GEORGE JOHNNIE ANDERSON ATC |
| Entity Type: | Individual |
| Taxonomy Code: | 2255A2300X |
| Specialty: | Specialist/Technologist |
| License Number: | 363 |
Most Important Dates
| Enumeration Date: | 09/25/2019 |
| Last Updated: | 09/25/2019 |
Provider Practice Location
210 PRESTON LN
GALLATIN
TN
370661499
Practice Location Phone/Fax
| Phone: | 6156043076 |
| Fax: |
Provider Mailing Location
210 PRESTON LN
GALLATIN
TN
370661499
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |