Healthcare Provider Details

I. General information

NPI: 1629025010
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2006
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21 S SHIRLEY AVE
HONEA PATH SC
29654-1503
US

IV. Provider business mailing address

PO BOX 100174
COLUMBIA SC
29202-3174
US

V. Phone/Fax

Practice location:
  • Phone: 864-369-0552
  • Fax: 864-369-1826
Mailing address:
  • Phone: 864-512-7879
  • Fax: 864-512-7037

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: STEPHEN JAN GRIGSBY
Title or Position: CFO
Credential:
Phone: 864-512-1109