Individual
ASHLEY CRISP ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
800 E CHEVES ST STE 480-B, FLORENCE, SC 29506-2650
(843) 432-1880
(843) 432-1022
Mailing address
PO BOX 3239, FLORENCE, SC 29502-3239
(843) 432-1880
(843) 432-1022
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2786
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3420PA
—
SC
Enumeration date
07/25/2017
Last updated
02/01/2021
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