Organization
ANDERSON ENT, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOLE P BAKER (MD)
(864) 226-2822
Entity
Organization
Contact information
Practice address
1206 CORNELIA RD, ANDERSON, SC 29621-3349
(864) 226-2822
(864) 226-2882
Mailing address
PO BOX 139, ANDERSON, SC 29622-0139
(864) 226-2822
(864) 226-2882
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP3157
—
SC
Enumeration date
05/12/2006
Last updated
06/24/2011
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