Individual
DR. SHAWN KARL MATHIAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2 INNOVATION DR, SUITE 400, GREENVILLE, SC 29607-5261
(864) 235-7665
(864) 233-5971
Mailing address
2 INNOVATION DR, SUITE 400, GREENVILLE, SC 29607-5261
(864) 235-7665
(864) 233-5971
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
5462
NE
207RC0000X
Cardiovascular Disease Physician
Primary
34623
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346236
—
SC
05
—
GP0975
—
SC
05
—
GP4697
—
SC
Enumeration date
05/14/2007
Last updated
05/21/2015
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