Individual
DR. ANSERMO LESTER ARTHUR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
137 MIRACLE DR, AIKEN, SC 29801-6351
(803) 641-4874
(803) 641-0436
Mailing address
367 S. GULPH RD, ATT: IPM CREDENTIALING, KING OF PRUSSIA, PA 19406-3121
(803) 641-4874
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
0101268572
VA
207RC0000X
Cardiovascular Disease Physician
0101268572
VA
207RC0000X
Cardiovascular Disease Physician
18189
SC
207RI0011X
Interventional Cardiology Physician
0101268572
VA
207RI0011X
Interventional Cardiology Physician
Primary
MD18189
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
181895
—
SC
Enumeration date
10/21/2006
Last updated
10/09/2023
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