Organization
ANDERSON FOOT CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNA C GILLIAM DPM (DOCTOR)
(864) 224-1836
Entity
Organization
Contact information
Practice address
408 MARSHALL AVE, ANDERSON, SC 29621
(864) 224-1836
(864) 224-1802
Mailing address
408 MARSHALL AVE, ANDERSON, SC 29621
(864) 224-1836
(864) 224-1802
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
065
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20043215
SELECT HEALTH
—
05
—
DE1962
—
SC
05
—
GP9991
—
SC
Enumeration date
11/01/2006
Last updated
08/22/2020
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