ANMED ENTERPRISES INC - UPSTATE ENDOSCOPY CENTER INC LLC NPI 1881645810

NPI Information

ANMED ENTERPRISES INC - UPSTATE ENDOSCOPY CENTER INC LLC is an endoscopy clinic center in Anderson, SC. ANMED ENTERPRISES INC - UPSTATE ENDOSCOPY CENTER INC LLC NPI is 1881645810. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Upstate Endoscopy.

The provider's business location address is:

1922B MCCONNELL SPRINGS RD
ANDERSON, SC
ZIP 29621-642
Phone: (864) 716-6555
Fax: (864) 716-6599

The provider's authorized official is David Wortham .
The authorized official title is Md and has the following contact phone number (864) 716-6555.

The CLIA number assigned to this NPI record is 42D1026162 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2006 and was last updated on 5/21/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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