Mallory Bunton Anderson, FNP-BC
Nurse Practitioner in West Columbia, SC. Individual provider (NPI-1).
NPI number1104166255
StatusActive
Last updated in NPPESFeb 27, 2013
Details
- NPI
- 1104166255
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Mallory Bunton Anderson
- Credential
- FNP-BC
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 27, 2013
- Last updated
- Feb 27, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363L00000X | Nurse Practitioner | 18187 | SC | Yes |
Practice location
131 Summerplace DrWest Columbia, SC 29169-3058
Phone 803-794-4585 · Fax 803-796-8924
Mailing address
131 Summerplace DrWest Columbia, SC 29169-3058
Phone 803-794-4585 · Fax 803-796-8924
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All 61 Nurse Practitioner providers in West Columbia · All 2,417 providers in West Columbia
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