Karon F Anderson

Individual provider Active NPI Counselor · Orangeburg, SC

NPI 1700978442 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1700978442
Entity type
Individual (NPI type 1)
Primary specialty
Counselor 101Y00000X
License
6352 (SC)
Practice address
3310 Magnolia St
Orangeburg, SC 29115-1466
Phone
(803) 531-6900
Fax
(803) 531-6907
NPI assigned
Sep 29, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
6352SCMDOrthopaedic Surgery Physician

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X 6352 SC Yes

Addresses

Primary practice location

3310 Magnolia St
Orangeburg, SC 29115-1466

Mailing address

3310 Magnolia St
Orangeburg, SC 29115-1466
Phone (803) 531-6900

Other identifiers

IdentifierTypeStateIssuer
PC1652MedicaidSC

Other providers in Orangeburg, SC

All providers in Orangeburg, SC · Counselor in South Carolina

Sources for this page

Verify at the official NPI Registry.