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:
Map and Directions

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447200514 NPPES
South Carolina MEDICAID 194408
South Carolina Other 8157
South Carolina Other 1295769438

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