Healthcare Provider Details

I. General information

NPI: 1255338570
Provider Name (Legal Business Name): ANSON REGIONAL MEDICAL SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/01/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

203 SALISBURY ST
WADESBORO NC
28170-2155
US

IV. Provider business mailing address

203 SALISBURY ST
WADESBORO NC
28170-2155
US

V. Phone/Fax

Practice location:
  • Phone: 704-694-6700
  • Fax: 704-694-5454
Mailing address:
  • Phone: 704-694-6700
  • Fax: 704-694-5454

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License Number
License Number StateNC

VIII. Authorized Official

Name: MISS GWENDOLYN ELISE REED
Title or Position: CFO
Credential: CFO
Phone: 704-694-6700