Anderson, Cameron Gram

Anderson, Cameron Gram is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425-8908. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Anderson, Cameron Gram can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425-8908
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 27298 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 2008-01584 North Carolina

Profile Details

NPI number 1912081175
LBN Legal business name Anderson, Cameron Gram
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Feb 7th, 2017 - about 7 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912081175 NPPES
North Carolina MEDICAID 5910090

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