Anderson, David Gordon
Anderson, David Gordon is an individual health care provider with primary practice located at 135 Commonwealth Dr Suite 210, Greenville SC 29615-4831. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Anderson, David Gordon can be contacted via phone (864) 675-4815.Contact Information
Primary practice address
135 Commonwealth Dr Suite 210
Greenville SC 29615-4831
Phone: (864) 675-4815
Fax: (864) 675-4780
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 19440 | South Carolina |
Profile Details
| NPI number | 1447200514 |
|---|---|
| LBN Legal business name | Anderson, David Gordon |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | May 2nd, 2013 - about 11 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 | 1447200514 | NPPES |
| South Carolina | MEDICAID | 194408 | |
| South Carolina | Other | 8157 | |
| South Carolina | Other | 1295769438 |
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