Individual
GANGATHARAN MATHISUTHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
511 S MAIN ST, MULLINS, SC 29574-3509
(843) 464-8244
(843) 464-6519
Mailing address
PO BOX 388, MULLINS, SC 29574-0388
(843) 464-8244
(843) 464-6519
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
18386
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
183864
—
SC
Enumeration date
04/17/2006
Last updated
10/15/2020
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