Organization
MARY BLACK HEALTH SYSTEM LLC
Active
Other names
Kiesau Gynecology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE BREWER (DIRECTOR OF PROVIDER ENROLLMENT)
(615) 465-7626
Entity
Organization
Contact information
Practice address
138 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 585-8064
(864) 585-8322
Mailing address
138 DILLON DR, SPARTANBURG, SC 29307-1018
(864) 585-8064
(864) 585-8322
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0456110024
MEDICARE DME PIN
SC
Enumeration date
09/07/2007
Last updated
09/07/2007
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