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Organization
ANDERSON FAMILY CARE, PA
Active
Organization
ANDERSON FAMILY CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WAJDI ALI DBOUK MD (OWNER)
(864) 261-4350
Entity
Organization
Contact information
Practice address
3424 CLEMSON BLVD, ANDERSON, SC 29621-1357
(864) 261-4350
(864) 261-4097
Mailing address
3424 CLEMSON BLVD, ANDERSON, SC 29621-1357
(864) 261-4350
(864) 261-4097
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2619
—
SC
Enumeration date
03/29/2006
Last updated
03/08/2022
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