Organization
ANESTHESIOLOGY SERVICES OF ANDERSON, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MATTHEW PATRICK ELLIOTT MD (PRESIDENT)
(864) 431-1958
Entity
Organization
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 431-1958
Mailing address
PO BOX 1657, ANDERSON, SC 29622-1657
(864) 431-1958
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
13681
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
057002
—
SC
05
—
077446
—
SC
05
—
080959
—
SC
05
—
144560
—
SC
05
—
269701
—
SC
05
—
GP1396
—
SC
05
—
TL4288
—
SC
Enumeration date
10/25/2005
Last updated
12/16/2020
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