Individual
MATTHEW CHRISTIAN STORY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
FNP-BC
Contact information
Practice address
3424 SHELBY RAY CT, CHARLESTON, SC 29414-5838
(843) 402-6834
(843) 573-9963
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
21464
SC
363LF0000X
Family Nurse Practitioner
21464
SC
363LF0000X
Family Nurse Practitioner
RN117539
GA
Other
Enumeration date
01/12/2018
Last updated
11/11/2024
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