| David R Anderson, MD | |
|
606 Black River Rd, Georgetown, SC 29440-3304 | |
| (843) 237-3378 | |
| (843) 237-5073 |
| Full Name | David R Anderson |
|---|---|
| Gender | Male |
| Speciality | Diagnostic Radiology |
| Experience | 36 Years |
| Location | 606 Black River Rd, Georgetown, South Carolina |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215996129 | NPI | - | NPPES |
| 232448 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2085R0202X | Radiology - Diagnostic Radiology | 23244 (South Carolina) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Tidelands Waccamaw Community Hospital | Murrells inlet, SC | Hospital |
| Tidelands Georgetown Memorial Hospital | Georgetown, SC | Hospital |
| Musc Medical Center | Charleston, SC | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Georgetown Radiology | 1153405360 | 7 |
| Entity Name | Georgetown Radiology |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1538125018 PECOS PAC ID: 1153405360 Enrollment ID: O20080227000258 |
| Mailing Address | Practice Location Address |
|---|---|
| David R Anderson, MD Po Box 2249, Pawleys Island, SC 29585-2249 Ph: (843) 237-3378 | David R Anderson, MD 606 Black River Rd, Georgetown, SC 29440-3304 Ph: (843) 237-3378 |
Mary Ann Haden, MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-237-3378 Fax: 843-237-5073 | |
Robert T Whitehead Iii, MD Radiology Medicare: Accepting Medicare Assignments Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-237-3378 Fax: 843-237-5073 | |
George T Deschamps Jr., MD Radiology Medicare: Not Enrolled in Medicare Practice Location: 606 Black River Rd, Georgetown, SC 29440 Phone: 843-237-3378 Fax: 843-237-5073 |