Individual
DR. JOHN FITZGERALD ANSLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
832 COOK RD, ORANGEBURG, SC 29118-2126
(803) 536-5511
(803) 536-0636
Mailing address
832 COOK RD, ORANGEBURG, SC 29118-2126
(803) 536-5511
(803) 536-0636
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
21712
SC
207Y00000X
Otolaryngology Physician
Primary
21712
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
PA2835
—
SC
Enumeration date
05/04/2006
Last updated
07/09/2020
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