Individual
PAUL J. WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1890
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
(864) 512-1417
(864) 512-1823
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
2348
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AN0269
—
SC
Enumeration date
04/14/2006
Last updated
10/25/2007
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