NPI 1366738379 · live from the CMS NPI Registry
Paul David Anderson, M.D.
Anesthesiology in Charleston, SC. National Provider Identifier 1366738379, active.
NPI record
| NPI | 1366738379 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Anesthesiology 207L00000X |
| Practice location | 169 Ashley Ave, Room 202 Main Hospital Msc333, Charleston, SC 29425 |
| Practice phone | 843-876-1344 |
| Enumerated | June 28, 2011 |
| Last updated | March 21, 2022 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Anesthesiology | 207L00000X | MMD.33855 LL (SC) |
| Internal Medicine, Endocrinology, Diabetes & Metabolism | 207RE0101X | ME123407 (FL) |
| Anesthesiology primary | 207L00000X | ME123407 (FL) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.