Healthcare Provider Details

I. General information

NPI: 1659294205
Provider Name (Legal Business Name): ANIKA OLIVER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1318 N MAIN ST # 1267
SUMMERVILLE SC
29483-7308
US

IV. Provider business mailing address

1318 N MAIN ST # 1267
SUMMERVILLE SC
29483-7308
US

V. Phone/Fax

Practice location:
  • Phone: 888-688-1643
  • Fax:
Mailing address:
  • Phone: 888-688-1643
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: