Provider Demographics
NPI:1871134098
Name:SECTION, ANNIE
Entity type:Individual
Prefix:MRS
First Name:ANNIE
Middle Name:
Last Name:SECTION
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1304 BISHOP PINE DR
Mailing Address - Street 2:
Mailing Address - City:LADSON
Mailing Address - State:SC
Mailing Address - Zip Code:29456-3103
Mailing Address - Country:US
Mailing Address - Phone:843-696-9119
Mailing Address - Fax:
Practice Address - Street 1:1304 BISHOP PINE DR
Practice Address - Street 2:
Practice Address - City:LADSON
Practice Address - State:SC
Practice Address - Zip Code:29456-3103
Practice Address - Country:US
Practice Address - Phone:843-696-9119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-30
Last Update Date:2019-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care Provider