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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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