Individual
ALAN RANDALL ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
900 W FARIS RD, 2ND FLOOR, GREENVILLE, SC 29605-4255
(864) 455-8898
(864) 241-9237
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8611
Taxonomy
Speciality
Code
Description
License number
State
2080P0207X
Pediatric Hematology & Oncology Physician
055084
GA
2080P0207X
Pediatric Hematology & Oncology Physician
Primary
24783
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
247833
—
SC
01
—
576007863054
BCBS
SC
Enumeration date
01/04/2007
Last updated
07/19/2021
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