Individual
DR. TERRY KOWALENKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-6712
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
4301058183
MI
207P00000X
Emergency Medicine Physician
Primary
81850
SC
207PE0004X
Emergency Medical Services (Emergency Medicine) Physician
058183
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
104362302
—
MI
05
—
4369018
—
MI
01
—
TK058183
BLUE SHIELD
MI
Enumeration date
06/27/2006
Last updated
01/14/2019
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us