Healthcare Provider Details

I. General information

NPI: 1922442698
Provider Name (Legal Business Name): RACHEL NNEKA ANAZIA MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL NNEKA ANAZIA MD

II. Dates (important events)

Enumeration Date: 04/24/2013
Last Update Date: 09/01/2022
Certification Date: 09/01/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 INDEPENDENCE PT STE 300
GREENVILLE SC
29615-4569
US

IV. Provider business mailing address

3000 ST. MATTHEWS ROAD DEPARTMENT OF ANESTHESIOLOGY
ORANGEBURG SC
29118
US

V. Phone/Fax

Practice location:
  • Phone: 864-522-3700
  • Fax: 864-522-3705
Mailing address:
  • Phone: 305-585-6973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207L00000X
TaxonomyAnesthesiology Physician
License Number40823
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: