Individual
DR. MATTHEW WILLIAM MUBARAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2113 ADAMS GRV STE 101, COLUMBIA, SC 29203-6957
(803) 256-0531
(803) 765-9052
Mailing address
7901 FARROW RD, COLUMBIA, SC 29203-3220
(803) 256-0531
(803) 765-9052
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
82385
SC
Other
Enumeration date
05/03/2016
Last updated
02/20/2023
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