Individual
MRS. KELLY TILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP-C
Contact information
Practice address
2000 E GREENVILLE ST, SUITE 4500, ANDERSON, SC 29621-1580
(864) 512-4500
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-4500
(864) 512-4505
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
20683
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP4370
—
SC
01
—
SCA0517111
MEDICARE
SC
Enumeration date
01/10/2017
Last updated
07/21/2022
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