Individual
ANDERSON B FUNKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
116 VENTURE CT, GREENWOOD, SC 29649-8558
(864) 725-5594
(864) 725-5598
Mailing address
116 VENTURE CT, GREENWOOD, SC 29649-8558
(864) 725-5594
(864) 725-5598
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
14527
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LL7507
—
SC
Enumeration date
06/29/2006
Last updated
06/10/2013
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