Individual
EDWARD ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPN
Contact information
Practice address
2470 MALL DR, N.CHARLESTON, SC 29406
(843) 207-4727
Mailing address
2414 QUAIL HOLLOW CT, CHARLESTON, SC 29414-6028
(843) 642-2898
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
P25671
SC
Other
Enumeration date
09/04/2020
Last updated
09/04/2020
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