Healthcare Provider Details

I. General information

NPI: 1659435238
Provider Name (Legal Business Name): ANCHOR HEALTHCARE, PLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/20/2006
Last Update Date: 08/10/2022
Certification Date: 08/10/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13198 JAMES MADISON HWY
ORANGE VA
22960-2808
US

IV. Provider business mailing address

13198 JAMES MADISON HWY
ORANGE VA
22960-2808
US

V. Phone/Fax

Practice location:
  • Phone: 540-672-3010
  • Fax: 540-672-5713
Mailing address:
  • Phone: 540-672-3010
  • Fax: 540-672-5713

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: AMANDA BURNS
Title or Position: ADMINISTRATOR
Credential:
Phone: 434-227-7588