Healthcare Provider Details
I. General information
NPI: 1760769434
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 11/09/2011
Last Update Date: 03/31/2016
Certification Date:
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 2027 SUITE 2550
ANDERSON SC
29622-2027
US
V. Phone/Fax
- Phone: 864-716-6140
- Fax: 864-716-6149
- Phone: 864-716-6140
- Fax: 864-716-6149
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207X00000X |
| Taxonomy | Orthopaedic Surgery Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHRISTINE
PEARSON
Title or Position: VP/CFO
Credential:
Phone: 864-512-1000