Jack D Anderson

Pediatrics | Male

Jack D Anderson is a Charlotte, North Carolina based Pediatric doctor with medical specialization in General Pediatrics. Current practice location of Jack D Anderson is 7030 Pineville Matthews Rd, Charlotte, North Carolina - 28226-8298. He can be contacted on phone at 704-667-4150 and fax number 704-752-7040. Jack D Anderson is a sole proprietor of his business.
NPI number (Unique professional ID) for Jack D Anderson is 1417976234 which was assigned by NPPES on 19 Jul, 2006 and it was last updated on 25 Jun, 2013. Jack D Anderson license number is 30586 for Pediatrics (208000000X) in North Carolina.
Jack D Anderson is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Jack D Anderson basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
Specialization :Pediatrics
Provider Name :Jack D Anderson
Gender :Male
Business Address:
Jack D Anderson address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
Primary Address :7030 Pineville Matthews Rd
Charlotte, NC, 28226-8298
United States
Phone Number :704-667-4150
Fax Number :704-752-7040
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
NPI Number : 1417976234
NPI Entity Type : Individual
First Enrolment Date : 19 Jul, 2006
Last Updated On : 25 Jun, 2013
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Jack D Anderson are as mentioned. Primary taxonomy code for Jack D Anderson is 208000000X (Pediatrics).
Taxonomy Code SpecialityPrimaryLicense No.State
208000000XPediatricsYes30586NC
Legacy Identifiers:
Other legacy medical identifiers of Jack D Anderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
IdentifierIdentifier TypeStateIssuer
8911152MEDICAIDNC
N30586MEDICAIDSC
11152OtherNCBCBS
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
Mailing Address :Po Box 601067
Charlotte, NC, 28260-1067
United States
Phone Number :704-667-4150
Fax Number :704-752-7040
Business Location:
Patients can refer following map for directions to Jack D Anderson practice address. Don't forget to take prior appointment before visiting.

** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.