Individual
GARY B ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1892 BRIGADOONE LN, FLORENCE, SC 29505-3235
(843) 292-9902
Mailing address
PO BOX 12937, FLORENCE, SC 29504-2937
(843) 292-9902
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
17855
SC
207RP1001X
Pulmonary Disease Physician
ME91700
FL
Other
Enumeration date
11/28/2012
Last updated
11/28/2012
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