Provider Demographics
NPI:1265435614
Name:ANMED HEALTH MEDICUS SURGERY CENTER LLC
Entity type:Organization
Organization Name:ANMED HEALTH MEDICUS SURGERY CENTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DANIEL
Authorized Official - Middle Name:J
Authorized Official - Last Name:FLEMING
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:864-716-7825
Mailing Address - Street 1:PO BOX 1886
Mailing Address - Street 2:
Mailing Address - City:ANDERSON
Mailing Address - State:SC
Mailing Address - Zip Code:29622-1886
Mailing Address - Country:US
Mailing Address - Phone:864-716-7907
Mailing Address - Fax:864-225-9035
Practice Address - Street 1:107 PROFESSIONAL CT
Practice Address - Street 2:
Practice Address - City:ANDERSON
Practice Address - State:SC
Practice Address - Zip Code:29621-2052
Practice Address - Country:US
Practice Address - Phone:864-716-7907
Practice Address - Fax:864-225-9035
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-05-31
Last Update Date:2007-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC502163261QA1903X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical