| Doctor Name: | MRS. ALICIA WILLIAMS ANDERSON |
| NPI Number: | 1093075269 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | FNP |
| License Number: | 17809 |
| Business Practice Address: | 1945 Glenns Bay Rd Surfside Beach, SC - 29575 |
| Business Phone Number: | 8436504006 |
| Business Fax Number: | 8436504019 |
| Mailing Address: | Po Box 14690, South Strand Internists & Urgent Care, Llc SURFSIDE BEACH |
| State: | SC |
| Postal Code: | 29587 |
| Phone Number: | 8436504006 |
| Fax Number: | 8436504019 |
| NPI Enumeration Date: | 05/22/2012 |
| NPI Last Update Date: | 12/09/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LF0000X |
| License Number: | 17809 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | SC |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Family |
| Taxonomy Definition: | |