Individual provider · NPI-1

Anne Archer, PA-C

Physician Assistant · Charleston, SC

NPI number1750958823
StatusActive
Last updated in NPPESFeb 20, 2024

Details

NPI
1750958823
Entity type
Individual (NPI-1)
Name
Anne Archer
Credential
PA-C
Sex
Female
Sole proprietor
No
Enumeration date
Jun 8, 2021
Certification date
Feb 20, 2024
Last updated
Feb 20, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
363A00000X Physician AssistantC0008043MDYes

Practice location

171 Ashley Ave
Charleston, SC 29425-5477

Phone 843-792-1414

Mailing address

Po Box 751461
Charlotte, NC 28275-1461

Other practice locations

9291 Medical Plaza Dr
Charleston, SC 29406-9126

Phone 843-764-1730

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