Individual
THERESA ROSE ALDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
40 BALDWIN AVE, LUGOFF, SC 29078-9406
(803) 408-3262
(803) 408-8895
Mailing address
645 S SEVENTH ST, PO BOX 366, MC BEE, SC 29101-7101
(843) 335-8291
(843) 335-8731
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
27241
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
27241
SC LIC
SC
Enumeration date
10/08/2012
Last updated
07/29/2014
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