Individual
ANNA MATRACHISIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 CALLEN BLVD STE 220, SUMMERVILLE, SC 29486-2816
(843) 958-1281
(843) 958-1278
Mailing address
PO BOX 751649, CHARLOTTE, NC 28275-1649
(888) 472-0043
(843) 724-2440
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
0101275631
VA
208C00000X
Colon & Rectal Surgery Physician
Primary
39423
SC
Other
Enumeration date
05/20/2016
Last updated
09/06/2024
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