Healthcare Provider Details

I. General information

NPI: 1518482132
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/04/2017
Last Update Date: 08/15/2022
Certification Date: 08/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

123 WG ACKER DR
PICKENS SC
29671-2739
US

IV. Provider business mailing address

PO BOX 100174
COLUMBIA SC
29202-3174
US

V. Phone/Fax

Practice location:
  • Phone: 864-224-2465
  • Fax:
Mailing address:
  • Phone: 864-224-2465
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINE PEARSON
Title or Position: CFO
Credential:
Phone: 864-512-1109