Individual
MATTHEW ROEHRS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
16 ROBERTS BLVD, WILLIAMSTON, SC 29697-1136
(648) 512-5800
(864) 512-5292
Mailing address
PO BOX 100174, COLUMBIA, SC 29202-3174
(864) 512-5800
(864) 512-5292
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22649
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
181818395A
RAILROAD MEDICARE
—
05
—
226491
—
SC
01
—
P00034736
MEDCOST
—
Enumeration date
05/31/2006
Last updated
11/23/2022
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