Organization
OTIS BOYD GARDO JR
Active
Other names
HIGHLANDS ANAPLASTOLOGY ASSOCIATES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REBECCA J. GARDO (OFFICE MANAGER)
(864) 232-3008
Entity
Organization
Contact information
Practice address
1007 GROVE RD, SUITE E, GREENVILLE, SC 29605-4630
(864) 232-3008
(864) 845-8556
Mailing address
126 COOL MEADOWS DR, PIEDMONT, SC 29673-8941
(864) 232-3008
(864) 845-8556
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
530923946B
—
GA
05
—
7704873
—
NC
05
—
DE2711
—
SC
Enumeration date
02/11/2008
Last updated
02/03/2009
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