Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Nathaniel Anderson, MD

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205522711

Nathaniel Anderson, MD is a Student in an Organized Health Care Education/Training Program in Charleston, West Virginia. Registered with an NPI since 2023.

In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3100 Maccorkle Ave SE
Charleston, WV 25304-1223
Phone: (304) 388-5590
Fax: (304) 388-8238
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Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205522711
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedApril 17, 2023
Last updated in NPPESApril 17, 2023
Certification dateApril 17, 2023
Mailing address3100 Maccorkle Ave Se, Charleston, WV 25304-1223

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