Individual provider · Type 1 NPI
Mark Anderson, NP-C
Family Nurse Practitioner · Statesboro, GA
NPI number
1386112456
Active
Practice location
112 Hill Pond Ln Ste A
Statesboro, GA 30458-0872
Fax (912) 259-9634
Mailing address
130 Harry Hagan Rd
Pembroke, GA 31321-9670
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Nurse Practitioner Primary | 363LF0000X | RN220654 (GA) |
Family Nurse Practitioner: Definition to come...
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About NPI 1386112456
Mark Anderson, NP-C's National Provider Identifier is 1386112456, issued on Nov 7, 2018. The primary taxonomy on file is Family Nurse Practitioner (363LF0000X), and the practice location is in Statesboro, GA. The record was last updated on Oct 29, 2025.