Individual
DR. ALAN J. ANTHONY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
331 E MAIN ST STE 200, ROCK HILL, SC 29730-5384
(954) 399-4673
Mailing address
3601 SW 160TH AVE STE 250, MIRAMAR, FL 33027-6314
(954) 399-4673
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
01054521A
IN
207N00000X
Dermatology Physician
15007
NV
207N00000X
Dermatology Physician
Primary
34242
SC
207Q00000X
Family Medicine Physician
01054521A
IN
207Q00000X
Family Medicine Physician
15007
NV
207Q00000X
Family Medicine Physician
34242
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000970192
ANTHEM
IN
05
—
002003058
—
NV
05
—
200280770
—
IN
01
—
P01578225
RAILROAD MEDICARE
IN
Enumeration date
10/29/2006
Last updated
01/10/2025
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