Individual
DR. JAMES KEITH ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
4010 EAST NORTH STREET, GREENVILLE, SC 29615
(864) 292-0262
(864) 292-0262
Mailing address
4010 EAST NORTH STREET, GREENVILLE, SC 29615
(864) 292-0262
(864) 292-1316
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
648
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OD0648
—
SC
Enumeration date
04/27/2006
Last updated
02/13/2012
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