Healthcare Provider Details

I. General information

NPI: 1265435614
Provider Name (Legal Business Name): ANMED HEALTH MEDICUS SURGERY CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2005
Last Update Date: 10/10/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 PROFESSIONAL CT
ANDERSON SC
29621-2052
US

IV. Provider business mailing address

PO BOX 1886
ANDERSON SC
29622-1886
US

V. Phone/Fax

Practice location:
  • Phone: 864-716-7907
  • Fax: 864-225-9035
Mailing address:
  • Phone: 864-716-7907
  • Fax: 864-225-9035

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA1903X
TaxonomyAmbulatory Surgical Clinic/Center
License Number502163
License Number StateSC

VIII. Authorized Official

Name: DR. DANIEL J. FLEMING
Title or Position: CO PRESIDENT
Credential: M.D.
Phone: 864-716-7825