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General NPI Number Information
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NPI Number | 1629025010
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Entity Type | Organization
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Legal Business Name | ANMED HEALTH
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Dates
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Enumeration Date | 05/30/2006
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 21 S SHIRLEY AVE
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City | HONEA PATH
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State | SC
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Zip | 29654-1503
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Country | US
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Telephone | 864-369-0552
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Fax | 864-369-1826
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Provider Business Mailing Address
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Address Line | PO BOX 100174
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City | COLUMBIA
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State | SC
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Zip | 29202-3174
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Country | US
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Telephone | 864-512-7879
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Fax | 864-512-7037
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Authorized Official
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Title or Position | CFO
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Name | STEPHEN JAN GRIGSBY
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Credential |
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Telephone | 864-512-1109
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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