Provider Demographics
NPI:1710163670
Name:PHYSICIAN SURGERY CENTER AT ANMED HEALTH LLC
Entity Type:Organization
Organization Name:PHYSICIAN SURGERY CENTER AT ANMED HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LYNN
Authorized Official - Middle Name:
Authorized Official - Last Name:GREGORY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-512-1699
Mailing Address - Street 1:100 HEALTHY WAY
Mailing Address - Street 2:SUITE 1220
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29621-7915
Mailing Address - Country:US
Mailing Address - Phone:864-512-4030
Mailing Address - Fax:864-512-4035
Practice Address - Street 1:100 HEALTHY WAY
Practice Address - Street 2:SUITE 1220
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-7915
Practice Address - Country:US
Practice Address - Phone:864-512-4030
Practice Address - Fax:864-512-4035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical