Organization
FAMILY MEDICINE SPECIALISTS OF ANDERSON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHASSE BAILEY-DORTON MD (MD)
(864) 260-1590
Entity
Organization
Contact information
Practice address
813 N FANT ST, ANDERSON, SC 29621-5717
(864) 260-1590
(864) 260-1596
Mailing address
813 N FANT ST, ANDERSON, SC 29621-5717
(864) 260-1590
(864) 260-1596
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP2774
—
SC
Enumeration date
05/09/2006
Last updated
10/10/2007
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