Individual
MATTHEW WHITLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
1748 SAINT MATTHEWS RD, ORANGEBURG, SC 29118-2441
(803) 536-0613
(803) 536-2876
Mailing address
PO BOX 749306, ATLANTA, GA 30374-9306
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
5864
SC
Other
Enumeration date
07/15/2024
Last updated
10/01/2025
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