Individual
DR. ANITA MEYERS VAGNONI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1000
(864) 512-1823
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-2828
(864) 512-2265
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
36438
SC
207R00000X
Internal Medicine Physician
D0059407
MD
208000000X
Pediatrics Physician
D0059407
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
36438
—
SC
Enumeration date
07/28/2006
Last updated
11/04/2020
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