Individual
DR. MATVEY TSIVIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
171 ASHLEY AVE, CHARLESTON, SC 29425-1522
(843) 792-1414
Mailing address
PO BOX 751461, CHARLOTTE, NC 28275-1461
(843) 792-6200
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
2020-03138
NC
208800000X
Urology Physician
63963
MN
208800000X
Urology Physician
70005
WI
208800000X
Urology Physician
91229
SC
Other
Enumeration date
05/23/2013
Last updated
01/05/2024
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