Individual
MR. MATTHEW FISCHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
255 ENTERPRISE BLVD STE 101, GREENVILLE, SC 29615-3530
(864) 454-8120
(864) 454-8125
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
22900
SC
363LG0600X
Gerontology Nurse Practitioner
Primary
22900
SC
Other
Enumeration date
12/04/2019
Last updated
04/13/2022
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