Charlotte Joan Anderson, is a
Student In An Organized Health Care Education/training Program based in Fort Mill, South Carolina. Charlotte Joan Anderson is licensed to practice in * (Not Available) (license number ) and her current practice location is
1913 Clark Elliott St, Fort Mill, South Carolina. She can be reached at her office (for appointments etc.) via phone at
(516) 641-6055.
NPI number for Charlotte Joan Anderson is 1205721396 and her current mailing address is 1913 Clark Elliott St, Fort Mill, South Carolina. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1205721396.
Provider's Profile
| Full Name | Charlotte Joan Anderson |
|---|
| Gender | Female |
|---|
| Speciality | Student In An Organized Health Care Education/training Program |
|---|
| Location | 1913 Clark Elliott St, Fort Mill, South Carolina |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1205721396
- Provider Enumeration Date: 06/10/2025
- Last Update Date: 06/10/2025
Medical Identifiers
Medical identifiers for Charlotte Joan Anderson such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1205721396 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 363A00000X | Physician Assistant | (* (Not Available)) | Secondary |
| 390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Charlotte Joan Anderson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Charlotte Joan Anderson,
1913 Clark Elliott St,
Fort Mill, SC 29708-8325
Ph: (516) 641-6055 | Charlotte Joan Anderson,
1913 Clark Elliott St,
Fort Mill, SC 29708-8325
Ph: (516) 641-6055 |
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