# JONATHAN HAL ANDERSON

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1346226958
- **Gender:** Man
- **Credential:** M.D., F.A.C.S.

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208800000X | Urology Physician | 19933 | SC | Yes |

## Other

- **Enumeration date:** 12/16/2005
- **Last updated:** 03/07/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 199332 | — | SC |