Individual
ANDREA F DRAISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2000 E GREENVILLE ST, STE 3000, ANDERSON, SC 29621
(864) 224-1055
(864) 224-3773
Mailing address
2000 E GREENVILLE ST, STE 3000, ANDERSON, SC 29621
(864) 224-1055
(864) 224-3773
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
10285
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000469741B
—
GA
05
—
102855
—
SC
05
—
GP5476
—
SC
Enumeration date
12/09/2005
Last updated
09/20/2010
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