Healthcare Provider Details
I. General information
NPI: 1487717468
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/19/2006
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
105 BUFORD AVE
ANDERSON SC
29621-3313
US
IV. Provider business mailing address
PO BOX 100174
COLUMBIA SC
29202-3174
US
V. Phone/Fax
- Phone: 864-512-7500
- Fax: 864-512-7575
- Phone: 864-512-8565
- Fax: 864-225-3317
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207V00000X |
| Taxonomy | Obstetrics & Gynecology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHEN
JAN
GRIGSBY
Title or Position: CFO
Credential:
Phone: 864-512-1109