Individual
EDWARD C MATTISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1116 CORNELIA RD, ANDERSON, SC 29621-3317
(864) 224-0028
(864) 225-5067
Mailing address
1116 CORNELIA RD, PO BOX 1847, ANDERSON, SC 29621-3317
(864) 224-0028
(864) 225-5067
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
04955
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
049557
—
SC
Enumeration date
12/13/2006
Last updated
07/08/2007
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