# FAMILY MEDICINE SPECIALISTS OF ANDERSON, PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1033168851
- **Authorized official:** CHASSE BAILEY-DORTON MD (MD)
- **Authorized official phone:** (864) 260-1590

## Contact information

- **Practice address:** 813 N FANT ST, ANDERSON, SC 29621-5717
- **Practice address phone:** (864) 260-1590
- **Practice address fax:** (864) 260-1596
- **Mailing address:** 813 N FANT ST, ANDERSON, SC 29621-5717
- **Mailing address phone:** (864) 260-1590
- **Mailing address fax:** (864) 260-1596

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/09/2006
- **Last updated:** 10/10/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | GP2774 | — | SC |