NPI
Mario Donnell Anderson
NPI 1073829826
Read from the NPPES registry on October 23, 2026.
Facts
- Status
- Active
- Credential
- PT
- Type
- Individual
- Enumeration date
- 2010-08-30
- Last updated
- 2013-03-21
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Specialties
Licenses
- License GA
- PT010030
Location
- Practice location
- 5370 Campbellton Fairburn Rd, Suite 530
- City
- Fairburn GA
- Postal code
- 30213-2296
- Phone
- (678) 666-4146
Medicare
- PECOS
- A PECOS enrollment row matches this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Fairburn, GA. 433 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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