Keith  C  Anderson    DO
Contract Details
Keith C. Anderson, D.O., P.C.
Facility name
Provider ID
P000000039
NPI
1982763165
Tax ID
631050902
Effective Date
1/14/2002
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_083
Location Details
Address
201 Governors Drive 1st Floor
Huntsville, AL 35801
United States
County
Madison
Phone
2565331600 (Phone)
Billing Details
Address
Specialty Type
Physical Medicine & Rehabilitation
Map
Address