person
Mrs. Katherine Johnson Anderson, PA
Medical Physician Assistant in Greenville, South Carolina
NPI 1043262983

Katherine Johnson Anderson is a Medical Physician Assistant based in Greenville, SC and is specialized in Medical. Katherine Johnson Anderson practices in Greenville, SC and has the professional credentials of PA. The NPI Number for Katherine Johnson Anderson is 1043262983 and holds a License No. 971 (South Carolina).

The current practice location address for Katherine Johnson Anderson is 215 Halton Rd, Greenville, SC and can be reached out via phone at 864-454-2700. You can also correspond with Katherine Johnson Anderson through the mailing address at 1 INDEPENDENCE PT, GREENVILLE, SC - 29615-4545 (mailing address contact number: 864-797-6328).

Location: 215 Halton Rd, Greenville, SC, 29615-4545
person
Provider Profile Details
NPI Number
1043262983
Provider Name
Katherine Johnson Anderson
Credential
PA
Provider Entity Type
Individual
Gender
Female
Address
215 Halton Rd, Greenville, SC, 29615-4545
Phone Number
864-454-2700
Fax Number
Provider Enumeration Date
05/17/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
971 01 SC LIC.
0259PA 05 SC
institution
Provider Business Practice Location Address Details
Address
215 Halton Rd
City
State
Zip
29607-3509
Phone Number
864-454-2700
Fax Number
person
Provider Business Mailing Address Details
Address
215 Halton Rd
City
State
Zip
29607-3509
Phone Number
864-454-2700
Fax Number
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
971 (South Carolina)
Definition
Definition to come...
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