| Anderson Gastroenterology Associates,llc | |
|
1530 N Fant St Ste B Anderson SC 29621-4700 | |
| (864) 225-7401 | |
| (864) 225-7201 |
| Full Name | Anderson Gastroenterology Associates,llc |
|---|---|
| Speciality | Clinic/center - Endoscopy |
| Location | 1530 N Fant St Ste B, Anderson, South Carolina |
| Authorized Official Name and Position | Tracy Guin (PRACTICE MANAGER) |
| Authorized Official Contact | 8642257401 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson Gastroenterology Associates,llc 1530 N Fant St Ste B Anderson SC 29621-4700 Ph: (864) 225-7401 | Anderson Gastroenterology Associates,llc 1530 N Fant St Ste B Anderson SC 29621-4700 Ph: (864) 225-7401 |
| NPI Number | 1356477368 |
|---|---|
| Provider Enumeration Date | 02/26/2007 |
| Last Update Date | 06/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356477368 | NPI | - | NPPES |
| GP2324 | Medicaid | SC | |
| 000338115A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 289 (South Carolina) | Secondary |
| 261QE0800X | Clinic/center - Endoscopy | 289 (South Carolina) | Primary |
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