Individual
DR. ANTHONY WAYNE ALEXANDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
MEDICAL SUITE, 600 SENIOR WAY, FLORENCE, SC 29505-6080
(843) 799-1067
(843) 799-0309
Mailing address
MEDICAL SUITE, 600 SENIOR WAY, FLORENCE, SC 29505-6080
(843) 799-1067
(843) 799-0309
Taxonomy
Speciality
Code
Description
License number
State
207XS0117X
Orthopaedic Surgery of the Spine Physician
22003
SC
208100000X
Physical Medicine & Rehabilitation Physician
200201427
NC
208100000X
Physical Medicine & Rehabilitation Physician
Primary
22003
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
89063NO
N.C. MEDICAID
—
05
—
T59068
—
SC
Enumeration date
07/29/2005
Last updated
06/29/2021
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