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Organization

CHARLES W. SCOWCROFT

Active
Other names
Anderson Gastroenterology Associates,LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TRACY GUIN (PRACTICE MANAGER)
(864) 225-7401
Entity
Organization

Contact information

Practice address
1530 N FANT ST STE B, ANDERSON, SC 29621-4700
(864) 225-7401
(864) 225-7201
Mailing address
1530 N FANT ST STE B, ANDERSON, SC 29621-4700
(864) 225-7401
(864) 225-7201

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
289
SC
261QE0800X
Endoscopy Clinic/Center
Primary
289
SC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
000338115A
GA
05
GP2324
SC
Enumeration date
02/26/2007
Last updated
06/30/2008
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