Organization
ANSON REGIONAL MEDICAL SERVICES , INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS GWENDOLYN ELISE REED CEO (CEO)
(704) 694-1475
Entity
Organization
Contact information
Practice address
203 SALISBURY ST, WADESBORO, NC 28170-2155
(704) 694-6700
(704) 694-5454
Mailing address
203 SALISBURY ST, WADESBORO, NC 28170-2155
(704) 694-1475
(704) 694-5454
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1359A
BCBS PROVIDER NUMBER
NC
05
—
891359A
—
NC
Enumeration date
06/30/2005
Last updated
08/22/2020
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