Organization
GASTROENTEROLOGY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. WILLIAM ROBERT ANDERSON MD,PHD,FACG (CEO/PRESIDENT)
(843) 875-0026
Entity
Organization
Contact information
Practice address
105B HARTH PL, SUMMERVILLE, SC 29485-8107
(843) 875-0026
(843) 875-0052
Mailing address
105B HARTH PL, SUMMERVILLE, SC 29485-8107
(843) 875-0026
(843) 875-0052
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
133741
—
SC
Enumeration date
08/22/2007
Last updated
08/22/2007
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