Taber, Andrew Dean
Taber, Andrew Dean is an individual health care provider with primary practice located at 853 N Church St Suite 620, Spartanburg SC 29303-3098. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Taber, Andrew Dean can be contacted via phone (864) 573-7511.Contact Information
Primary practice address
853 N Church St Suite 620
Spartanburg SC 29303-3098
Phone: (864) 573-7511
Fax: (864) 560-1690
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | LL29077 | South Carolina |
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 29077 | South Carolina |
Profile Details
| NPI number | 1376631739 |
|---|---|
| LBN Legal business name | Taber, Andrew Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 11th, 2006 |
| Last updated | Mar 20th, 2023 - about 2 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 | 1376631739 | NPPES |
| North Carolina | MEDICAID | 5921873 | |
| North Carolina | MEDICAID | 290777 | |
| North Carolina | Other | P01120205 |
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