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Contact Information

PAUL D ANDERSON, MD
169 ASHLEY AVE
ROOM 202 MAIN HOSPITAL MSC333
CHARLESTON, SC29425-8905
 Phone: 843-876-1344
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anesthesiology

207L00000X 79 Physician/Addiction Medicine
 

Endocrinology, Diabetes & Metabolism

207RE0101X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for PAUL D ANDERSON · (Male)

NPI # 1366738379
Status Active
Credentials MD
Entity Individual
Enumeration date 06/28/2011
Last updated 03/21/2022 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # ME123407
  • SC License # MMD.33855 LL
Hospital affiliation(s)
  • ST ANTHONY'S HOSPITAL - (Acute Care)
    1200 SEVENTH AVE N
    SAINT PETERSBURG, FL 33705
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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