| NPI | 1023318383 |
|---|---|
| Doing Business As | ANMED PRIMARY CARE - LAKESIDE |
| Entity Type | Organization |
| Authorized Contact | STEPHEN JAN GRISGBY C Fo 864-512-1109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2010-11-02 |
| Last Update Date | 2025-05-23 |