Healthcare Provider Details
I. General information
NPI: 1982645701
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/10/2006
Last Update Date: 07/25/2022
Certification Date: 07/25/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2000 E GREENVILLE ST CANCER CENTER 3RD FLOOR
ANDERSON SC
29621-1580
US
IV. Provider business mailing address
PO BOX 100174
COLUMBIA SC
29202-3174
US
V. Phone/Fax
- Phone: 864-225-5131
- Fax: 864-225-2592
- Phone: 864-225-5131
- Fax: 864-225-2592
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207VX0201X |
| Taxonomy | Gynecologic Oncology Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
PEARSON
Title or Position: MD
Credential:
Phone: 864-512-1109