| 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 |
|---|---|
| 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 |