Organization · NPI-2
Anderson Family Care, PA
Family Medicine · Anderson, SC
NPI number1942261185
StatusActive
Last updated in NPPESMar 8, 2022
Details
- NPI
- 1942261185
- Entity type
- Organization (NPI-2)
- Legal business name
- Anderson Family Care, PA
- Organization subpart
- No
- Enumeration date
- Mar 29, 2006
- Certification date
- Mar 8, 2022
- Last updated
- Mar 8, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | – | Yes |
Practice location
3424 Clemson BlvdAnderson, SC 29621-1357
Phone 864-261-4350 · Fax 864-261-4097
Mailing address
3424 Clemson BlvdAnderson, SC 29621-1357
Phone 864-261-4350 · Fax 864-261-4097
Authorized official
Wajdi Ali Dbouk
Owner
8642614350
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