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NPI Code Detail

MEDICARE: ANSON REGIONAL MEDICAL SERVICES , INC

MEDICARE: ANSON REGIONAL MEDICAL SERVICES , INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1302R00000XHealth Maintenance OrganizationNC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11359AOTHERNCBCBS PROVIDER NUMBER
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1669479077
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANSON REGIONAL MEDICAL SERVICES , INC
Provider Business Mailing Address
First Line : 203 SALISBURY ST
Second Line :
City : WADESBORO
State : NC
Zip : 28170-2155
Country : US
Telephone Number : 704-694-1475
Fax Number : 704-694-5454
Provider Business Practice Location Address
First Line : 203 SALISBURY ST
Second Line :
City : WADESBORO
State : NC
Zip : 28170-2155
Country : US
Telephone Number : 704-694-6700
Fax Number : 704-694-5454
Authorized Official
Title or Position : CEO
Name : MISS GWENDOLYN ELISE REED
Credential : CEO
Telephone Number : 704-694-1475
Provider Enumeration Date : 06/30/2005
Last Update Date : 08/22/2020

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1881804268 — DR. CHARLES E OBIAJA M.D.
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1689159766 — DR. IVORY WILLIAMS DNP, APRN, FNP-C
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1609464122 — MR. GABRIEL LAMONT OLLISON PA-C
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Practice Fax:

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