Provider Demographics
NPI:1447349741
Name:ANDERSON, JOSEPH ROBERT (MD)
Entity type:Individual
Prefix:MR
First Name:JOSEPH
Middle Name:ROBERT
Last Name:ANDERSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:1 SAINT DUNSTANS RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28803
Mailing Address - Country:US
Mailing Address - Phone:828-252-4020
Mailing Address - Fax:828-252-4022
Practice Address - Street 1:1 SAINT DUNSTANS RD
Practice Address - Street 2:SUITE 100
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28803
Practice Address - Country:US
Practice Address - Phone:828-252-4020
Practice Address - Fax:828-252-4022
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2013-02-04
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC9500807207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC8911244Medicaid
NC22106986Medicare ID - Type Unspecified
F42622Medicare UPIN