Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Anthony Jamaal Anderson, LMTSMTPPE

Individual provider Specialist · NPI 1619427374

Anthony Jamaal Anderson, LMTSMTPPE is a Specialist in Gulfport, Mississippi. Practices as a sole proprietor. Licensed in Mississippi.

Licensed in
MS
In the registry since
2016
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Practice location Address checks out

295 Debuys Rd
Gulfport, MS 39507-2800
Phone: (228) 229-6865
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X · Licence 1408 (MS)

Record details

NPI number1619427374
Entity typeIndividual (Type 1)
GenderMale
Credentials LMTSMTPPE
Sole proprietorYes
NPI enumeratedOctober 6, 2016
Last updated in NPPESOctober 6, 2016

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