Individual
JANAINA NOGUEIRA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1711
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2080P0206X
Pediatric Gastroenterology Physician
26834
AL
2080P0206X
Pediatric Gastroenterology Physician
Primary
84804
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009933974
—
AL
05
—
009933976
—
AL
Enumeration date
08/30/2006
Last updated
10/26/2020
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