Individual
KRYSTAL MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP-BC
Contact information
Practice address
2000 E GREENVILLE ST STE 5130, ANDERSON, SC 29621-1580
(864) 512-4590
Mailing address
800 N FANT ST, ANDERSON, SC 29621-5708
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
27633
SC
Other
Enumeration date
07/19/2023
Last updated
07/19/2023
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