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Contact Information

KATHERINE J ANDERSON, PA
701 GROVE RD
GREENVILLE, SC29605-4210
 Phone: 864-455-2455
 Fax: 864-455-2450
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
 

Medical

363AM0700X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for KATHERINE J ANDERSON · (Female)

NPI Number 1043262983
Status Active
Credentials PA (Physician Assistant)
Entity Individual
Enumeration date 05/17/2006
Last updated 04/23/2026 - About 1 months ago
Sole proprietor 1 No
Identifiers
  • SC License # 971
  • SC Medicaid 0259PA
  • Other 971 SC LIC.
Hospital affiliation(s) Not Available
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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