Individual ProviderMartha Rosetta AndersonRegistered NurseNursing Service ProvidersPractice Address2731 Gordon St, North Charleston, SC 29405-3900(843) 745-2025PECOS EnrollmentBased on the most recent information from CMS, provider Martha Rosetta Anderson does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:07 PM.Profile DetailsProvider ID1831973866Provider TypeIndividualFull NameAnderson, Martha RosettaCredentialRN, BNS, CCMGenderFemaleSole ProprietorYesEnumeration Date8/21/2023Last Updated8/21/2023Contact InformationPractice LocationPractice Address2731 Gordon St, North Charleston, SC 29405-3900Phone(843) 745-2025Fax(843) 745-2182Mailing LocationMailing Address2731 Gordon St, North Charleston, SC 29405-3900Phone(843) 745-2025Fax(843) 745-2182Provider TaxonomiesCodeDescriptionLicenseCode163WS0200XPrimaryDescriptionRegistered NurseNursing Service ProvidersLicense273442South Carolina