Individual
MATHEW DAVID WOOSTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2728 SUNSET BLVD STE 400, WEST COLUMBIA, SC 29169-4872
(803) 936-7095
(803) 936-7908
Mailing address
PO BOX 6069, WEST COLUMBIA, SC 29171-6069
(803) 936-7095
(803) 936-7908
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
40558
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
405582
—
SC
Enumeration date
03/23/2012
Last updated
09/16/2025
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