NPI 1164801676 · live from the CMS NPI Registry
Erik James Anderson, PA-C
Physician Assistant in South Charleston, WV. National Provider Identifier 1164801676, active.
NPI record
| NPI | 1164801676 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physician Assistant 363A00000X |
| Practice location | 242 Division St, South Charleston, WV 25309 |
| Practice phone | 304-767-7840 |
| Mailing address | 415 Morris St, Suite 400, Charleston, WV 25301 |
| Enumerated | May 29, 2015 |
| Last updated | June 5, 2023 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physician Assistant primary | 363A00000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.