Individual
DR. PAULINE MARY ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
50 E HOSPITAL ST, SUITE 4A, MANNING, SC 29102-3149
(803) 433-0797
(803) 433-0896
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(803) 435-5270
(803) 433-0154
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
12814
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128141
—
SC
Enumeration date
03/17/2006
Last updated
10/27/2016
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