Individual
MATTHEW MICHALIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
701 GROVE RD FL 1, GREENVILLE, SC 29605-4210
(864) 455-7899
(864) 455-5474
Mailing address
1 INDEPENDENCE PT STE 212, GREENVILLE, SC 29615-4536
(864) 797-6311
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
2018-00036
NC
207P00000X
Emergency Medicine Physician
Primary
82907
SC
Other
Enumeration date
05/10/2016
Last updated
07/09/2019
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