Provider Demographics
NPI:1134336084
Name:ANNE C EPTING MD PA
Entity type:Organization
Organization Name:ANNE C EPTING MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:C
Authorized Official - Last Name:EPTING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:843-577-9861
Mailing Address - Street 1:PO BOX 1342
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-1342
Mailing Address - Country:US
Mailing Address - Phone:843-557-9861
Mailing Address - Fax:843-572-1231
Practice Address - Street 1:64 MONTAGU ST
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29401-1239
Practice Address - Country:US
Practice Address - Phone:843-557-9861
Practice Address - Fax:843-572-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2012-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCDP2372OtherRR MEDICARE
SCPA7439Medicaid
SC2359Medicare ID - Type Unspecified