Healthcare Provider Details

I. General information

NPI: 1164746392
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/17/2010
Last Update Date: 10/20/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2000 E GREENVILLE ST FL 3
ANDERSON SC
29621-1580
US

IV. Provider business mailing address

PO BOX 100174
COLUMBIA SC
29202-3174
US

V. Phone/Fax

Practice location:
  • Phone: 864-512-1000
  • Fax: 864-512-1823
Mailing address:
  • Phone: 864-512-1417
  • Fax: 864-512-1823

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2084A0401X
TaxonomyAddiction Medicine (Psychiatry & Neurology) Physician
License Number
License Number StateSC

VIII. Authorized Official

Name: CHRISTINE M PEARSON
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 864-512-1109