Dr. Michael B Anderson, M.D.
Radiology, Vascular & Interventional Radiology in Charleston, SC. Individual provider (NPI-1).
NPI number1932282290
StatusActive
Last updated in NPPESFeb 10, 2020
Details
- NPI
- 1932282290
- Entity type
- Individual (NPI-1)
- Name
- Dr. Michael B Anderson
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Oct 23, 2006
- Certification date
- Feb 10, 2020
- Last updated
- Feb 10, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2085R0204X | Radiology, Vascular & Interventional Radiology | 27818 | SC | Yes |
| 2085R0202X | Radiology, Diagnostic Radiology | 27818 | SC |
Practice location
171 Ashley AveCharleston, SC 29425-0001
Phone 843-792-1414 · Fax 843-876-4976
Mailing address
Po Box 751461Charlotte, NC 28275-1461
Phone 843-792-6200
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