Individual
ALYSSA MARLI ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
38 SHERIDAN PARK CIR STE F, BLUFFTON, SC 29910-7023
(843) 757-6744
Mailing address
135 PICKETT MILL BLVD, OKATIE, SC 29909-7831
(440) 212-4047
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
0010-04629
NC
363A00000X
Physician Assistant
Primary
2904
SC
Other
Enumeration date
12/26/2013
Last updated
03/17/2018
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