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NPI Code Detail

MEDICARE: DR. GERALD KEITH ANDERSON PHD

MEDICARE: DR. GERALD KEITH ANDERSON PHD
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
1103T00000XPsychologist290AL

General Provider Information

NPI Number : 1447236658
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GERALD KEITH ANDERSON PHD
Provider Business Mailing Address
First Line : 100 CENTURY PARK S
Second Line : SUITE 206
City : BIRMINGHAM
State : AL
Zip : 35226-3949
Country : US
Telephone Number : 205-978-7800
Fax Number : 205-978-7802
Provider Business Practice Location Address
First Line : 100 CENTURY PARK S
Second Line : SUITE 206
City : BIRMINGHAM
State : AL
Zip : 35226-3949
Country : US
Telephone Number : 205-978-7800
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/20/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GERALD KEITH ANDERSON PHD” Practice Location

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