Provider Demographics
NPI:1285678029
Name:ANFINSON, SCOTT MICHAEL (MD)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:MICHAEL
Last Name:ANFINSON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 ARLEY WAY
Mailing Address - Street 2:STE 100
Mailing Address - City:BLUFFTON
Mailing Address - State:SC
Mailing Address - Zip Code:29910-4883
Mailing Address - Country:US
Mailing Address - Phone:843-815-5436
Mailing Address - Fax:843-815-7197
Practice Address - Street 1:8 ARLEY WAY
Practice Address - Street 2:SUITE 100
Practice Address - City:BLUFFTON
Practice Address - State:SC
Practice Address - Zip Code:29910-4883
Practice Address - Country:US
Practice Address - Phone:843-815-5436
Practice Address - Fax:843-815-7197
Is Sole Proprietor?:No
Enumeration Date:2006-06-15
Last Update Date:2020-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA047047207W00000X
SC21937207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCP01373809OtherRAILROAD
SCG47047Medicaid
SCAA8665A983Medicare PIN
SCG47047Medicaid
SCG47047Medicaid
SCA983Medicare PIN