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1861418824

NPI Code Detail

MEDICARE: BEVERLY GARRISON-STIGALL MD

MEDICARE: BEVERLY GARRISON-STIGALL MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	14601	SC
2	207R00000X	Internal Medicine Physician	14601	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	21-4601	OTHER	SC	SC CONTROLLED SUBS
2	57-6007863	OTHER	SC	BLUE CROSS
3	576007863	OTHER	SC	AETNA
4	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
5	57-6007863	OTHER	SC	BLUE CHOICE
6	576007863	OTHER	SC	TRICARE
7	20009735	OTHER	SC	SELECT HEALTH INDV
8	20031678	OTHER	SC	SELECT HEALTH GRP

General Provider Information

NPI Number	:	1861418824
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEVERLY GARRISON-STIGALL MD

Provider Business Mailing Address
First Line	:	300 E MCBEE AVE FL 4
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29601-2842
Country	:	US
Telephone Number	:	864-522-8603
Fax Number	:

Provider Business Practice Location Address
First Line	:	11402 ANDERSON RD
Second Line	:
City	:	GREENVILLE
State	:	SC
Zip	:	29611-7557
Country	:	US
Telephone Number	:	864-631-2799
Fax Number	:	864-522-1215

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	04/25/2025

Similar Medicare Providers

1205353661 — MRS. DANA ARMAND GRAHAM FNP-C
Practice Location Address:

11402 ANDERSON RD
GREENVILLE, SC
29611-7557

Practice Phone: 864-631-2799
Practice Fax: 864-522-1215

1336116532 — JAMES WALTER NEW COCHRAN MD
Practice Location Address:

11402 ANDERSON RD
GREENVILLE, SC
29611-7557

Practice Phone: 864-631-2799
Practice Fax: 864-522-1215

1336105204 — MELODY ANN SWAVELY M.D.
Practice Location Address:

11402 ANDERSON RD
GREENVILLE, SC
29611-7557

Practice Phone: 864-631-2799
Practice Fax: 864-522-1215

1477501773 — BARBARA SUE REPIK MD
Practice Location Address:

11402 ANDERSON RD
GREENVILLE, SC
29611-7557

Practice Phone: 864-631-2799
Practice Fax: 864-522-1215

1013967652 — LAURA COLLEEN NALL M.D.
Practice Location Address:

11402 ANDERSON RD , SUITE A
GREENVILLE, SC
29611-7557

Practice Phone: 864-631-2799
Practice Fax: 864-631-2795

1760590624 — ALAN N BROWN MD
Practice Location Address:

11402 ANDERSON RD
GREENVILLE, SC
29611-7557

Practice Phone: 864-631-2799
Practice Fax: 864-522-1215

Directions to “ BEVERLY GARRISON-STIGALL MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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