Individual
MATTHEW LORD BELENCHIA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP
Contact information
Practice address
109 DOCTORS DR, GREENVILLE, SC 29605-5608
(864) 797-7150
(864) 797-7155
Mailing address
300 E MCBEE AVE FL 4, GREENVILLE, SC 29601-2842
(864) 522-8603
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
27749
SC
363LF0000X
Family Nurse Practitioner
Primary
27749
SC
Other
Enumeration date
08/10/2023
Last updated
08/23/2023
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