# ANESTHESIOLOGY SERVICES OF ANDERSON, PA

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

## Provider details

- **NPI number:** 1174513824
- **Authorized official:** MATTHEW PATRICK ELLIOTT MD (PRESIDENT)
- **Authorized official phone:** (864) 431-1958

## Contact information

- **Practice address:** 800 N FANT ST, ANDERSON, SC 29621-5708
- **Practice address phone:** (864) 431-1958
- **Mailing address:** PO BOX 1657, ANDERSON, SC 29622-1657
- **Mailing address phone:** (864) 431-1958

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | 13681 | SC | Yes |

## Other

- **Enumeration date:** 10/25/2005
- **Last updated:** 12/16/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 057002 | — | SC |
| 05 | — | 077446 | — | SC |
| 05 | — | 080959 | — | SC |
| 05 | — | 144560 | — | SC |
| 05 | — | 269701 | — | SC |
| 05 | — | GP1396 | — | SC |
| 05 | — | TL4288 | — | SC |