Individual
CLAY J. ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
104 FUNK AVE, SAINT STEPHEN, SC 29479-3383
(843) 567-3206
(843) 567-3287
Mailing address
104 FUNK AVE, SAINT STEPHEN, SC 29479-3383
(843) 567-3206
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0116033794
VA
207Q00000X
Family Medicine Physician
89624
SC
Other
Enumeration date
06/01/2020
Last updated
05/18/2023
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