Organization
GIM BARRY BLACKSTON, MD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BARRY C BLACKSTON MD (DIRECTOR)
(864) 242-5678
Entity
Organization
Contact information
Practice address
8 MEMORIAL MEDICAL CT STE 4, GREENVILLE, SC 29605-4400
(864) 242-5678
(864) 242-5679
Mailing address
8 MEMORIAL MEDICAL CT STE 4, GREENVILLE, SC 29605-4400
(864) 242-5678
(864) 242-5679
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
16698
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1316948185
NPPES
—
Enumeration date
09/14/2017
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