Individual
KARON F ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Mailing address
3310 MAGNOLIA ST, ORANGEBURG, SC 29115-1466
(803) 531-6900
(803) 531-6907
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
6352
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PC1652
—
SC
Enumeration date
09/29/2006
Last updated
07/21/2022
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