Individual
MATTHEW DEAN ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
313 MAIN ST STE A, GREENWOOD, SC 29646-2757
(864) 229-4446
Mailing address
313 MAIN ST STE B, GREENWOOD, SC 29646-2757
(864) 229-4446
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
3606
SC
363AM0700X
Medical Physician Assistant
Primary
PA3606
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
102029439
DRIVERS LICENSE
SC
Enumeration date
08/23/2020
Last updated
05/07/2025
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