Provider Demographics
NPI:1780960724
Name:ANCHOR POINT INC
Entity type:Organization
Organization Name:ANCHOR POINT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LIGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:CCAM
Authorized Official - Phone:678-210-1166
Mailing Address - Street 1:3320 OLD SALEM RD SE
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013-2223
Mailing Address - Country:US
Mailing Address - Phone:678-210-1166
Mailing Address - Fax:678-210-0177
Practice Address - Street 1:3320 OLD SALEM RD SE
Practice Address - Street 2:
Practice Address - City:CONYERS
Practice Address - State:GA
Practice Address - Zip Code:30013-2223
Practice Address - Country:US
Practice Address - Phone:678-210-1166
Practice Address - Fax:678-210-0177
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-21
Last Update Date:2011-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA033610 GA207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty