| Anmed Health Cannon Medical Group Primary Care | |
|
123 Wg Acker Dr Pickens SC 29671-2739 | |
| (864) 878-4791 | |
| Not Available |
| Full Name | Anmed Health Cannon Medical Group Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 123 Wg Acker Dr, Pickens, South Carolina |
| Authorized Official Name and Position | Shon M Herron (FINANCIAL DIRECTOR) |
| Authorized Official Contact | 8648981151 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Anmed Health Cannon Medical Group Primary Care Po Box 100174 Columbia SC 29202-3174 Ph: (864) 878-4791 | Anmed Health Cannon Medical Group Primary Care 123 Wg Acker Dr Pickens SC 29671-2739 Ph: (864) 878-4791 |
| NPI Number | 1821759796 |
|---|---|
| Provider Enumeration Date | 01/04/2022 |
| Last Update Date | 01/04/2022 |
| Certification Date | 01/03/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821759796 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Primary |
| 207R00000X | Internal Medicine | (NU) | Secondary |
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