Healthcare Provider Details

I. General information

NPI: 1124065057
Provider Name (Legal Business Name): ANMED HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/31/2006
Last Update Date: 05/23/2025
Certification Date: 05/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16 ROBERTS BLVD
WILLIAMSTON SC
29697-1136
US

IV. Provider business mailing address

PO BOX 100174
COLUMBIA SC
29202-3174
US

V. Phone/Fax

Practice location:
  • Phone: 864-847-7323
  • Fax: 864-847-7543
Mailing address:
  • Phone: 864-512-5800
  • Fax: 864-512-5292

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