Individual
MR. MATTHEW WAYNE FAUST
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AGACNP
Contact information
Practice address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 724-2988
Mailing address
316 CALHOUN ST, CHARLESTON, SC 29401-1113
(843) 696-3034
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
23259
SC
Other
Enumeration date
09/24/2019
Last updated
09/24/2019
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