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Organization
ANMED HEALTH
Active
Organization
ANMED HEALTH
Active
Other names
AnMed Health Fairplay Family Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISITINE PEARSON (CFO)
(864) 512-1109
Entity
Organization
Contact information
Practice address
111 W PINE GROVE RD, FAIR PLAY, SC 29643-2623
(864) 972-0414
(864) 972-0422
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 972-0414
(864) 972-0422
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DT0100
RR MEDICARE
SC
05
—
GP5464
—
SC
Enumeration date
04/20/2010
Last updated
09/16/2016
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