Individual
MATTHEW FREDERICK BASEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
755 ELECTRIC DR, SUMTER, SC 29153-1933
(803) 905-5112
Mailing address
755 ELECTRIC DR, SUMTER, SC 29153-1933
(803) 905-5112
(803) 905-5171
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
SC
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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