Individual
JULIE NINA ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
14 MEDICAL PARK, SUITE 310, COLUMBIA, SC 29203
(803) 434-7950
(803) 434-3855
Mailing address
PO BOX 743904, ATLANTA, GA 30374-3904
(803) 296-7320
(803) 296-7330
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
23017
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
23017
SC MEDICAL LIC #
SC
05
—
230173
—
SC
Enumeration date
06/02/2006
Last updated
03/27/2018
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