NPI 1114003415 · live from the CMS NPI Registry
Alan J. Anthony, MD
Dermatology in Rock Hill, SC. National Provider Identifier 1114003415, active.
NPI record
| NPI | 1114003415 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Dermatology 207N00000X |
| Practice location | 331 E Main St Ste 200, Rock Hill, SC 29730 |
| Practice phone | 954-399-4673 |
| Mailing address | 3601 Sw 160th Ave Ste 250, Miramar, FL 33027 |
| Enumerated | October 29, 2006 |
| Last updated | January 10, 2025 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dermatology | 207N00000X | 15007 (NV) |
| Dermatology | 207N00000X | 01054521A (IN) |
| Family Medicine | 207Q00000X | 15007 (NV) |
| Family Medicine | 207Q00000X | 01054521A (IN) |
| Family Medicine | 207Q00000X | 34242 (SC) |
| Dermatology primary | 207N00000X | 34242 (SC) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.