Individual provider · NPI-1

Matthew Patrick Anderson, MD

· Charleston, SC

NPI number1851077598
StatusActive
Last updated in NPPESJun 27, 2023

Details

NPI
1851077598
Entity type
Individual (NPI-1)
Name
Matthew Patrick Anderson
Credential
MD
Sex
Male
Sole proprietor
No
Enumeration date
Jun 27, 2023
Certification date
May 31, 2023
Last updated
Jun 27, 2023

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2086S0129X LL90369SCYes

Practice location

171 Ashley Ave
Charleston, SC 29425-0100

Phone 843-792-1414

Mailing address

169 Ashley Ave Rm 202
Charleston, SC 29425-8905

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