Kimberly Stites, CNM | |
101 E Wood St, Spartanburg, SC 29303-3040 | |
(864) 560-6164 | |
(864) 560-7092 |
Full Name | Kimberly Stites |
---|---|
Gender | Female |
Speciality | Advanced Practice Midwife |
Location | 101 E Wood St, Spartanburg, South Carolina |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1104293992 | NPI | - | NPPES |
Q693893365 | Other | SC | MEDICARE PIN |
MW0282 | Medicaid | SC |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367A00000X | Advanced Practice Midwife | 576 (North Carolina) | Secondary |
367A00000X | Advanced Practice Midwife | 24270 (South Carolina) | Primary |
Entity Name | Spartanburg Medical Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1043309917 PECOS PAC ID: 3072425297 Enrollment ID: O20031105000129 |
Mailing Address | Practice Location Address |
---|---|
Kimberly Stites, CNM Po Box 743070, Atlanta, GA 30374-3070 Ph: (864) 560-4304 | Kimberly Stites, CNM 101 E Wood St, Spartanburg, SC 29303-3040 Ph: (864) 560-6164 |
Ms. Gibson Gail Cates, CNM, MS Advanced Practice Midwife Medicare: Not Enrolled in Medicare Practice Location: 101 E Wood St, Spartanburg, SC 29303 Phone: 864-560-6164 Fax: 864-560-7092 | |
Ms. Ruth J Stanton, CNM Advanced Practice Midwife Medicare: Medicare Enrolled Practice Location: 853 N Church St, Suite 700, Spartanburg, SC 29303 Phone: 864-560-6164 Fax: 864-560-7092 |