Organization
ANMED HEALTH
Active
Other names
AnMed Primary Care - Lakeside
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHEN JAN GRISGBY (CFO)
(864) 512-1109
Entity
Organization
Contact information
Practice address
4120 HIGHWAY 24, ANDERSON, SC 29626-5321
(864) 512-5830
(864) 224-4999
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5830
(864) 224-4999
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GP5556
—
SC
Enumeration date
11/02/2010
Last updated
05/23/2025
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