Individual
DR. RALPH ATHEN TESSENEER III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1690 SKYLYN DR STE 300A, SPARTANBURG, SC 29307-1022
(864) 342-4000
(864) 596-7409
Mailing address
PO BOX 743070, ATLANTA, GA 30374-3070
(864) 560-4304
(864) 560-4413
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
8959
SC
207QA0505X
Adult Medicine Physician
8959
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
089594
—
SC
01
—
P00386809
MEDICARE RAILROAD PTAN#
GA
01
—
SCE4905019
MEDICARE PIN
SC
Enumeration date
01/07/2006
Last updated
12/31/2020
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