Individual
MR. MATTHEW PETER BOYESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6030 SAINT ANDREWS RD, STE M, COLUMBIA, SC 29212-3164
(803) 238-3433
Mailing address
6030 SAINT ANDREWS RD, STE M, COLUMBIA, SC 29212-3164
(803) 238-3433
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4349
SC
111N00000X
Chiropractor
5511
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100431890
—
KY
Enumeration date
10/18/2016
Last updated
01/16/2019
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