Clay J Anderson, MD | |
104 Funk Ave, Saint Stephen, SC 29479-3383 | |
(843) 567-3206 | |
(843) 567-3287 |
Full Name | Clay J Anderson |
---|---|
Gender | Male |
Speciality | Family Medicine |
Location | 104 Funk Ave, Saint Stephen, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1386268860 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 0116033794 (Virginia) | Primary |
207Q00000X | Family Medicine | 89624 (South Carolina) | Secondary |
Entity Name | Palmetto Primary Care Physicians Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073234928 PECOS PAC ID: 4880508068 Enrollment ID: O20031113000287 |
Mailing Address | Practice Location Address |
---|---|
Clay J Anderson, MD 104 Funk Ave, Saint Stephen, SC 29479-3383 Ph: (843) 567-3206 | Clay J Anderson, MD 104 Funk Ave, Saint Stephen, SC 29479-3383 Ph: (843) 567-3206 |
Barbara F Gregg, CFNP Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 104 Funk Ave, Saint Stephen, SC 29479 Phone: 843-567-3206 Fax: 843-567-3287 | |
Samuel Owens Schumann Jr., M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 104 Funk Ave, Saint Stephen, SC 29479 Phone: 843-567-3206 Fax: 843-567-3287 | |
Dr. Sarah Holleman Brown, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 137 Cedar Dr, Saint Stephen, SC 29479 Phone: 843-567-4000 Fax: 843-567-3000 |