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
Fax: (803) 433-0896
Website:

Health care specialties

SpecialtyCodeLicense #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 8 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 1174592471 NPPES
South Carolina MEDICAID 128141

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