Individual
MATTHEW B BLUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
316 CALHOUN, CHARLESTON, SC 29401
(843) 724-2000
Mailing address
PO BOX 751137, CHARLOTTE, NC 28275-1137
(866) 488-1642
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
21037
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
210373
—
SC
Enumeration date
07/11/2006
Last updated
07/08/2007
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