Individual
MRS. KATHLEEN MCCOMBS MITCHELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
701 CONGAREE RD, GREENVILLE, SC 29607-3519
(864) 458-7289
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2277
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2162PA
—
SC
01
—
SC56835019
MEDICARE PIN
SC
01
—
SC56836067
MEDICARE PIN
SC
01
—
SC56836084
MEDICARE PIN
SC
01
—
SC5683J577
MEDICARE PIN
SC
Enumeration date
04/27/2015
Last updated
07/03/2024
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