Dr LARRY W ANDERSON MD is a male medical professional, specializing in Family Medicine. He graduated in 1978 from Kansas City Medical College.
NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC
81 NORTHSIDE DAWSON DR
SUITE 205
DAWSONVILLE
GA
305347169
Tel: 7062651335
| Npi | 1932157856 |
| Pac Id | 4385621960 |
| Professional Enrollment Id | I20040701000745 |
| Last Name | ANDERSON |
| First Name | LARRY |
| Middle Name | W |
| Suffix | |
| Gender | M |
| Credential | MD |
| Medical School Name | KANSAS CITY MEDICAL COLLEGE |
| Graduation Year | 1978 |
| Primary Specialty | FAMILY MEDICINE |
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| Organization Legal Name | NORTHSIDE PRIMARY CARE PROFESSIONAL SERVICES,LLC |
| Group Practice Pac Id | 9638343924 |
| Number Of Group Practice Members | 173 |
| Line 1 Street Address | 81 NORTHSIDE DAWSON DR |
| Line 2 Street Address | SUITE 205 |
| Marker Of Address Line 2 Suppression | |
| City | DAWSONVILLE |
| State | GA |
| Zip Code | 305347169 |
| Phone Number | 7062651335 |
| Hospital Affiliation Ccn 1 | 110005 |
| Hospital Affiliation Lbn 1 | NORTHSIDE HOSPITAL FORSYTH |
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| Professional Accepts Medicare Assignment | Y |
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