Healthcare Provider Details
I. General information
NPI: 1770493926
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/10/2026
Last Update Date: 09/10/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
125 BILO PL STE A
SENECA SC
29678-2541
US
IV. Provider business mailing address
PO BOX 100174
COLUMBIA SC
29202-3174
US
V. Phone/Fax
- Phone: 864-512-7580
- Fax: 864-512-7581
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 208000000X |
| Taxonomy | Pediatrics Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
STEPHEN
JAN
GRIGSBY
JR.
Title or Position: VP, CFO
Credential:
Phone: 864-512-6410