Anderson, Pauline Mary
Anderson, Pauline Mary is an individual health care provider with primary practice located at 50 E Hospital St Suite 4A, Manning SC 29102-3149. She recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as her primary health care specialty. Anderson, Pauline Mary can be contacted via phone (803) 433-0797.Contact Information
Primary practice address
50 E Hospital St Suite 4A
Manning SC 29102-3149
Phone: (803) 433-0797
Fax: (803) 433-0896
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Obstetrics & Gynecology | 207V00000X | 12814 | South Carolina |
Profile Details
| NPI number | 1174592471 |
|---|---|
| LBN Legal business name | Anderson, Pauline Mary |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Oct 27th, 2016 - about 10 years 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1174592471 | NPPES |
| South Carolina | MEDICAID | 128141 |
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