Individual
DR. PAUL DAVID ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
(843) 876-1344
Mailing address
169 ASHLEY AVE, ROOM 202 MAIN HOSPITAL MSC333, CHARLESTON, SC 29425-8905
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
ME123407
FL
207L00000X
Anesthesiology Physician
MMD.33855 LL
SC
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
ME123407
FL
Other
Enumeration date
06/28/2011
Last updated
03/21/2022
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