Individual
MATTHEW KEATON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
NP-C
Contact information
Practice address
357 WOODRUFF RD, GREENVILLE, SC 29607-3415
(864) 522-8350
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8617
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
18542
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
NP2749
—
SC
Enumeration date
10/23/2013
Last updated
06/09/2021
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