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NPI Code Detail

MEDICARE: DR. DUDLEY BUIST ANDERSON MD

MEDICARE: DR. DUDLEY BUIST ANDERSON MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RH0003XHematology & Oncology Physician17235NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1265547517
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DUDLEY BUIST ANDERSON MD
Provider Business Mailing Address
First Line : PO BOX 7867
Second Line :
City : ROCKY MOUNT
State : NC
Zip : 27804-0867
Country : US
Telephone Number : 252-291-3100
Fax Number : 252-243-0599
Provider Business Practice Location Address
First Line : 1812 GLENDALE DR SW STE B
Second Line :
City : WILSON
State : NC
Zip : 27893-4402
Country : US
Telephone Number : 252-291-3100
Fax Number : 252-243-0599
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/20/2006
Last Update Date : 01/26/2010

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