Healthcare Provider Details
I. General information
NPI: 1669207874
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/06/2024
Last Update Date: 09/06/2024
Certification Date: 09/06/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1922 MCCONNELL SPRINGS RD STE A
ANDERSON SC
29621-2642
US
IV. Provider business mailing address
PO BOX 100174
COLUMBIA SC
29202-3174
US
V. Phone/Fax
- Phone: 864-716-6050
- Fax: 864-716-6055
- Phone: 864-716-6050
- Fax: 864-716-6055
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RG0100X |
| Taxonomy | Gastroenterology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
MARIE
PEARSON
Title or Position: VP, CFO
Credential:
Phone: 864-512-1109