Ancrum, Eugene

Ancrum, Eugene is an individual health care provider with primary practice located at 8720 Dorchester Rd , North Charleston SC 29420-7303. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Ancrum, Eugene can be contacted via phone (843) 789-1620.

Contact Information

Primary practice address
8720 Dorchester Rd North Charleston SC 29420-7303
Phone: (843) 789-1620
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2439 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2439 South Carolina
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X

Profile Details

NPI number 1043694334
LBN Legal business name Ancrum, Eugene
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2015
Last updated Apr 9th, 2026 - about 6 months ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1043694334 NPPES
South Carolina MEDICAID 2431PA

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