Individual
MARIA GISELE MATHEUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
171 ASHLEY AVE, RM 297, CHARLESTON, SC 29425-8908
(843) 792-0287
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
2085D0003X
Diagnostic Neuroimaging (Radiology) Physician
Primary
AL29939
SC
Other
Enumeration date
05/21/2007
Last updated
02/17/2015
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