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Individual

DR. THOMAS SHANNON ANDERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1625 HOSPITAL DR, MT PLEASANT, SC 29464-3698
(843) 849-1551
(843) 884-0629
Mailing address
PO BOX 749340, ATLANTA, GA 30374-9340

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
0090-01409
NC
207T00000X
Neurological Surgery Physician
Primary
25231
SC

Other

Enumeration date
11/28/2006
Last updated
12/23/2024
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