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 |
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| Provider Name : | Jack D Anderson |
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| Gender : | Male |
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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 |
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| Phone Number : | 704-667-4150 |
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| Fax Number : | 704-752-7040 |
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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 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 19 Jul, 2006 |
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| Last Updated On : | 25 Jun, 2013 |
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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 | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 30586 | NC |
Legacy Identifiers:
Other legacy medical identifiers of Jack D Anderson such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
|---|
| 8911152 | MEDICAID | NC | |
| N30586 | MEDICAID | SC | |
| 11152 | Other | NC | BCBS |
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 |
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| Phone Number : | 704-667-4150 |
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| Fax Number : | 704-752-7040 |
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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.