Individual
DR. RUTH K ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 332-3850
Mailing address
2716 ASHTON DR, WILMINGTON, NC 28412-2489
(910) 332-3800
(910) 332-3850
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
A88641
CA
207LP2900X
Pain Medicine (Anesthesiology) Physician
MMD.37031.MD
SC
208VP0000X
Pain Medicine Physician
Primary
2017-00989
NC
208VP0014X
Interventional Pain Medicine Physician
6517
AK
208VP0014X
Interventional Pain Medicine Physician
A88641
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1518926026
—
NC
05
—
AA0035
—
SC
05
—
MD9409
—
AK
01
—
Q538906672
MEDICARE PTAN
SC
Enumeration date
08/05/2006
Last updated
01/20/2022
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