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NPI Code Detail

MEDICARE: ANSON REGIONAL MEDICAL SERVICES, INC

MEDICARE: ANSON REGIONAL MEDICAL SERVICES, INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker
2207Q00000XFamily Medicine Physician
3261QC1500XCommunity Health Clinic/Center
4261QF0400XFederally Qualified Health Center (FQHC)

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1992840003
Entity Type Code : Organization
Provider Name (Legal Business Name) : ANSON REGIONAL MEDICAL SERVICES, INC
Provider Business Mailing Address
First Line : PO BOX 192
Second Line : 203 SALISBURY STREET
City : WADESBORO
State : NC
Zip : 28170-0192
Country : US
Telephone Number : 704-694-6700
Fax Number : 704-694-5454
Provider Business Practice Location Address
First Line : 203 SALISBURY ST
Second Line :
City : WADESBORO
State : NC
Zip : 28170-2155
Country : US
Telephone Number : 704-694-6700
Fax Number : 704-695-1227
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MS. GWENDOLYN REED
Credential : MPA,RHIT
Telephone Number : 704-694-6700
Provider Enumeration Date : 02/20/2007
Last Update Date : 07/12/2024

Similar Medicare Providers

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203 SALISBURY ST
WADESBORO, NC
28170-2155
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Practice Fax: 704-694-5454
1255338570 — ANSON REGIONAL MEDICAL SERVICES, INC
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1558315416 — ANSON REGIONAL MEDICAL SERVICES, INC
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203 SALISBURY ST
WADESBORO, NC
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1689159766 — DR. IVORY WILLIAMS DNP, APRN, FNP-C
Practice Location Address:
203 SALISBURY ST
WADESBORO, NC
28170-2155
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1609464122 — MR. GABRIEL LAMONT OLLISON PA-C
Practice Location Address:
203 SALISBURY ST
WADESBORO, NC
28170-2155
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1962160549 — MS. MICHELLE VICTORIA- DOMINIQUE HARVEY PA-C
Practice Location Address:
203 SALISBURY ST
WADESBORO, NC
28170-2155
Practice Phone: 704-694-6700
Practice Fax: 704-695-1227

Directions to “ANSON REGIONAL MEDICAL SERVICES, INC ” Practice Location

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