Individual
DR. MATTHEW FERNANDEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1012 PHYSICIANS DR, CHARLESTON, SC 29414-5719
(843) 571-0602
Mailing address
150 CHATHAM MEDICAL PARK, ELKIN, NC 28621-2445
(336) 835-7676
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
703
SC
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
771
NC
213ES0103X
Foot & Ankle Surgery Podiatrist
703
SC
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/14/2017
Last updated
12/09/2021
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