Provider Demographics
NPI:1841964541
Name:MEDICAL BILLING CENTER OF THE SOUTH, LLC
Entity type:Organization
Organization Name:MEDICAL BILLING CENTER OF THE SOUTH, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:
Authorized Official - Last Name:KLUCKHOHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:864-679-1600
Mailing Address - Street 1:401 BROOKFIELD PKWY STE 500A
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:SC
Mailing Address - Zip Code:29607-5795
Mailing Address - Country:US
Mailing Address - Phone:864-679-1600
Mailing Address - Fax:
Practice Address - Street 1:401 BROOKFIELD PKWY STE 500A
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:SC
Practice Address - Zip Code:29607-5795
Practice Address - Country:US
Practice Address - Phone:864-679-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-05
Last Update Date:2021-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171W00000XOther Service ProvidersContractorGroup - Single Specialty