Individual
JONATHAN PRINCE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-8908
(843) 792-1414
Mailing address
2313 HIGH TIDE DR, CHARLESTON, SC 29414-7064
(864) 508-0366
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
Primary
247739
SC
Other
Enumeration date
05/15/2025
Last updated
05/15/2025
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