Organization
ANMED HEALTH
Active
Other names
AnMed Cannon Cardiology
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE PEARSON (CFO)
(864) 512-1109
Entity
Organization
Contact information
Practice address
123 WG ACKER DR, PICKENS, SC 29671-2739
(864) 224-2465
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 224-2465
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7842
MEDICARE
SC
Enumeration date
08/04/2017
Last updated
08/15/2022
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