Individual
SHIRNETT MAY MATTHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
900 W FARIS RD, GREENVILLE, SC 29605-4255
(864) 679-3900
(864) 679-3901
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6303
Taxonomy
Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
Primary
32067
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100790
—
NJ
01
—
1592771
CIGNA PROVIDER #
NJ
01
—
2742861000
AMERIHEALTH - NJOS #
NJ
01
—
316663
AMERIGROUP PROVIDER #
NJ
05
—
320672
—
SC
01
—
3K4198
HEALTH NET PROVIDER #
NJ
01
—
P00416963
RAILROAD MEDICARE
NJ
01
—
P00613891
RAILROAD MEDICARE PTAN
NJ
Enumeration date
05/11/2006
Last updated
01/31/2018
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