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Individual

MATTHEW G SARGENT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
FNP

Contact information

Practice address
121 PARK CENTRAL DR STE 200, COLUMBIA, SC 29203-6476
(803) 252-9907
Mailing address
121 PARK CENTRAL DR STE 200, COLUMBIA, SC 29203-6476
(803) 252-9907

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
24946
SC
363L00000X
Nurse Practitioner
Primary
343280
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
24946
APRN
SC
01
343280
NYS LICENSE
NY
Enumeration date
07/19/2018
Last updated
05/23/2026
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