Provider Demographics
NPI:1801851290
Name:STOCKINGER, HELEN M (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:M
Last Name:STOCKINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 743070
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30374-3070
Mailing Address - Country:US
Mailing Address - Phone:864-560-4304
Mailing Address - Fax:864-560-4413
Practice Address - Street 1:101 E WOOD ST STE 401
Practice Address - Street 2:
Practice Address - City:SPARTANBURG
Practice Address - State:SC
Practice Address - Zip Code:29303-3040
Practice Address - Country:US
Practice Address - Phone:864-560-6654
Practice Address - Fax:864-560-7388
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2020-12-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC13941207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCGP1330Medicaid
SC1316155112OtherGROUP NPI
SCTL3127Medicaid
SCSC50555019OtherMEDICARE PIN
SCSC50559068OtherMEDICARE PIN
SC1316155112OtherGROUP NPI
SCSC50559068Medicare PIN
SCB91621Medicare UPIN
SC8688Medicare PIN