Individual provider · NPI-1

Dr. Paul David Anderson, M.D.

Anesthesiology · Charleston, SC

NPI number1366738379
StatusActive
Last updated in NPPESMar 21, 2022

Details

NPI
1366738379
Entity type
Individual (NPI-1)
Name
Dr. Paul David Anderson
Credential
M.D.
Sex
Male
Sole proprietor
Yes
Enumeration date
Jun 28, 2011
Certification date
Mar 21, 2022
Last updated
Mar 21, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207L00000X AnesthesiologyME123407FLYes
207L00000X AnesthesiologyMMD.33855 LLSC
207RE0101X Internal Medicine, Endocrinology, Diabetes & MetabolismME123407FL

Practice location

169 Ashley Ave
Room 202 Main Hospital Msc333
Charleston, SC 29425-8905

Phone 843-876-1344

Mailing address

169 Ashley Ave
Room 202 Main Hospital Msc333
Charleston, SC 29425-8905

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