Healthcare Provider Details

I. General information

NPI: 1164888533
Provider Name (Legal Business Name): ANCHOR MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/14/2016
Last Update Date: 07/26/2023
Certification Date: 07/26/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2305 ROWLAND AVE STE 207
SAVANNAH GA
31404-4477
US

IV. Provider business mailing address

2305 ROWLAND AVE STE 207
SAVANNAH GA
31404-4477
US

V. Phone/Fax

Practice location:
  • Phone: 843-597-5091
  • Fax:
Mailing address:
  • Phone: 843-597-5091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: PAUL J FARTHING
Title or Position: PRESIDENT
Credential:
Phone: 843-597-5091