Individual
MATTHEW KRUMHOLZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
215 RAVENEL ST, COLUMBIA, SC 29205-2762
(704) 778-8403
Mailing address
215 RAVENEL ST, COLUMBIA, SC 29205-2762
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
209751
SC
367500000X
Certified Registered Nurse Anesthetist
Primary
21013
SC
Other
Enumeration date
04/14/2017
Last updated
05/24/2017
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