Anderson, Alan Randall
Anderson, Alan Randall is an individual health care provider with primary practice located at 900 W Faris Rd 2Nd Floor, Greenville SC 29605-4255. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Anderson, Alan Randall can be contacted via phone (864) 455-8898.Contact Information
Primary practice address
900 W Faris Rd 2Nd Floor
Greenville SC 29605-4255
Phone: (864) 455-8898
Fax: (864) 241-9237
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 055084 | Georgia |
| Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology | 2080P0207X | 24783 | South Carolina |
Profile Details
| NPI number | 1124175146 |
|---|---|
| LBN Legal business name | Anderson, Alan Randall |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 4th, 2007 |
| Last updated | Jul 19th, 2021 - about 3 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 | 1124175146 | NPPES |
| South Carolina | Other | 576007863054 | BCBS |
| South Carolina | MEDICAID | 247833 | BCBS |
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