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General NPI Number Information
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NPI Number | 1114003415
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Entity Type | Individual
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Provider Name | ALAN J. ANTHONY MD
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Gender | Male
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Dates
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Enumeration Date | 10/29/2006
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Last Update Date | 01/10/2025
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Provider Practice Location Address
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Address Line | 331 E MAIN ST STE 200
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City | ROCK HILL
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State | SC
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Zip | 29730-5384
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Country | US
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Telephone | 954-399-4673
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Fax |
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Provider Business Mailing Address
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Address Line | 3601 SW 160TH AVE STE 250
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City | MIRAMAR
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State | FL
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Zip | 33027-6314
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Country | US
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Telephone | 954-399-4673
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 15007
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 01054521A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 15007
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01054521A
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 34242
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License Number State | SC
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Taxonomy #6
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number | 34242
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License Number State | SC
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