Healthcare Provider Details

I. General information

NPI: 1538447172
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/01/2011
Last Update Date: 09/16/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 LEBBY ST
PELZER SC
29669-1754
US

IV. Provider business mailing address

PO BOX 100174
COLUMBIA SC
29202-3174
US

V. Phone/Fax

Practice location:
  • Phone: 864-947-6666
  • Fax: 864-947-8621
Mailing address:
  • Phone: 864-947-6666
  • Fax: 864-947-8621

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number11429
License Number StateSC

VIII. Authorized Official

Name: CHRISTINE PEARSON
Title or Position: VP/CFO
Credential:
Phone: 864-512-1000