Individual
DEBORAH TEMPLES ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-C
Contact information
Practice address
11 DOCTORS PARK DR STE 220, SPARTANBURG, SC 29307-1008
(864) 253-8055
(864) 253-8126
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20905
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4916
—
SC
01
—
SCB3943365
MEDICARE PIN
SC
01
—
SCB3944746
MEDICARE PIN
SC
01
—
SCB3945019
MEDICARE PIN
SC
Enumeration date
06/08/2017
Last updated
09/23/2022
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