Healthcare Provider Details

I. General information

NPI: 1104054204
Provider Name (Legal Business Name): RUTHANNE MARIE DAHLHEIMER MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2009
Last Update Date: 03/26/2026
Certification Date: 03/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 E GREENVILLE ST
ANDERSON SC
29621-1529
US

IV. Provider business mailing address

2001 E GREENVILLE ST
ANDERSON SC
29621-1529
US

V. Phone/Fax

Practice location:
  • Phone: 864-332-3098
  • Fax: 855-232-3959
Mailing address:
  • Phone: 864-332-3098
  • Fax: 855-232-3959

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number31758
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: