Individual
DR. ANTHONY JACOB EMANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-0001
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
51109
SC
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
LL51109
SC
390200000X
Student in an Organized Health Care Education/Training Program
MD2021-0229
NM
Other
Enumeration date
06/01/2017
Last updated
08/02/2022
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