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

Mr. Athan Anderson III

Individual provider Basic Emergency Medical Technician · NPI 1215957469

Mr. Athan Anderson III is a Basic Emergency Medical Technician in Portsmouth, Virginia. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006

Practice location Address checks out

4000 Coast Guard Blvd
Portsmouth, VA 23707-2199
Phone: (757) 483-8710
Fax: (757) 483-8716
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Basic Emergency Medical Technician (primary) Taxonomy 146N00000X · Licence B1625287 (CA)

Record details

NPI number1215957469
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedJuly 20, 2006
Last updated in NPPESJuly 8, 2007

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