| Anderson University Athletics | |
|
316 Boulevard Abney Gymnasium, Box 999 Anderson SC 29621-4002 | |
| (864) 231-2144 | |
| Not Available |
| Full Name | Anderson University Athletics |
|---|---|
| Speciality | Clinic/center - Student Health |
| Location | 316 Boulevard, Anderson, South Carolina |
| Authorized Official Name and Position | Evans Whitaker (PRESIDENT) |
| Authorized Official Contact | 8642312100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anderson University Athletics 316 Boulevard Abney Gymnasium, Box 999 Anderson SC 29621-4002 Ph: (864) 231-2144 | Anderson University Athletics 316 Boulevard Abney Gymnasium, Box 999 Anderson SC 29621-4002 Ph: (864) 231-2144 |
| NPI Number | 1275883738 |
|---|---|
| Provider Enumeration Date | 09/12/2012 |
| Last Update Date | 10/08/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275883738 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
| 261QS1000X | Clinic/center - Student Health | (* (Not Available)) | Primary |
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