Individual
SAMUEL NELS ANDERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4708 OLEANDER DR, MYRTLE BEACH, SC 29577-5742
(843) 449-9415
Mailing address
8121 ROURK ST, MYRTLE BEACH, SC 29572-4128
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
MMD.91586
SC
Other
Enumeration date
03/19/2019
Last updated
09/19/2025
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