Individual
DR. MICHAEL S MATHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
52 BEAR DR, GREENVILLE, SC 29605-4458
(864) 295-2131
(864) 605-8556
Mailing address
13 COUNTRY CLUB DR, GREENVILLE, SC 29605-1114
(864) 232-6233
(864) 605-8556
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
8776
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
087765
—
SC
Enumeration date
06/25/2006
Last updated
07/09/2007
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